Provider Demographics
NPI:1326044082
Name:MCALLISTER, JAMES GRAY III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRAY
Last Name:MCALLISTER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:GRAY
Other - Last Name:MCALLISTER
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:521 E JONES ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1137
Mailing Address - Country:US
Mailing Address - Phone:919-821-9112
Mailing Address - Fax:919-821-2137
Practice Address - Street 1:521 E JONES ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1137
Practice Address - Country:US
Practice Address - Phone:919-821-9112
Practice Address - Fax:919-821-2137
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC119092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7955401Medicaid
NCC84877Medicare UPIN
NC7955401Medicaid