MEDICARE: BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	9501262	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407172091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	305 W COLLEGE AVE
Second Line	:	A
City	:	SHELBY
State	:	NC
Zip	:	28152-8111
Country	:	US
Telephone Number	:	704-434-9686
Fax Number	:	704-434-9618

Provider Business Practice Location Address
First Line	:	305 W COLLEGE AVE
Second Line	:	A
City	:	SHELBY
State	:	NC
Zip	:	28152-8111
Country	:	US
Telephone Number	:	704-434-9686
Fax Number	:	704-434-9618

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL JAMES GROSSELL
Credential	:	DO
Telephone Number	:	704-434-9686

Provider Enumeration Date	:	04/08/2010
Last Update Date	:	04/16/2015

Similar Medicare Providers

1457079741 — MONRIEL HARBISON LCMHC
Practice Location Address:

305 W COLLEGE AVE
SHELBY, NC
28152-8111

Practice Phone: 704-818-9200
Practice Fax: 704-600-6731

1114908290 — CLEVELAND PHYSICAL THERAPY ASSOC II
Practice Location Address:

335B W COLLEGE AVE
SHELBY, NC
28152-8111

Practice Phone: 704-434-8175
Practice Fax: 704-434-8176

1730167883 — MICHAEL JAMES GROSSELL DO
Practice Location Address:

305 W COLLEGE AVE , SUITE A
SHELBY, NC
28152-8111

Practice Phone: 704-434-9686
Practice Fax: 704-434-9618

1306805650 — DR. ROBERT M DORN M.D.
Practice Location Address:

305 W COLLEGE AVE
SHELBY, NC
28152-8111

Practice Phone: 704-818-9200
Practice Fax:

1740379882 — MARIE DARLENE LAWSON CNM
Practice Location Address:

335A W COLLEGE AVE
SHELBY, NC
28152-8111

Practice Phone: 980-487-2870
Practice Fax:

1831412337 — CLEVELAND HEALTH VENTURES LLC
Practice Location Address:

335A W COLLEGE AVE
SHELBY, NC
28152-8111

Practice Phone: 704-434-0990
Practice Fax: 704-434-4999

Directions to “BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.