TIM GRAVGAARD
NPI 1891472650
Driver in Elizabeth City, NC
About Tim Gravgaard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM GRAVGAARD (NPI 1891472650) is an individual driver provider in Elizabeth City, North Carolina, licensed in North Carolina (20899329) and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tim Gravgaard's NPI number?
The NPI number for Tim Gravgaard is 1891472650. It was assigned to this individual provider in the NPPES registry on July 3, 2023.
Where is Tim Gravgaard located?
Tim Gravgaard practices at 117 Matthews Dr, Elizabeth City, NC 27909. The listed phone number is (757) 618-9866.
What is Tim Gravgaard's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Tim Gravgaard was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tim Gravgaard · NPI 1891472650
Driver provider in Elizabeth City, North Carolina. Individual provider, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1891472650 (Entity type: Individual)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 20899329 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 117 MATTHEWS DR, Elizabeth City, NC 27909-7739
- **Phone:** (757) 618-9866
## Record status
- **NPPES last updated:** July 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1891472650) · Data from the CMS NPPES public registry.