CAROMONT MEDICAL GROUP INC (NPI# 1073891719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073891719 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | CAROMONT PATHOLOGY |
| Practice Address |
2240 Remount Rd Ste 300 Gastonia NC 28054-4725 |
| Practice Telephone | 7048342450 |
| Practice Fax Number | 7046715331 |
| Mailing Telephone | 7048342450 |
| Mailing Fax Number | 7046715331 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | DOUGLAS R. LUCKETT (CEO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROMONT MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CaroMont Pathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1710359757 | Caromont Medical Group Inc | Anesthesiology | 1212 Spruce Street, Suite 305a, Belmont, NC 28012-3386 | 2015-10-29 |
| 1285940445 | Caromont Medical Group Inc | Family Medicine | 3845 S. New Hope Rd, Gastonia, NC 28056-8439 | 2010-08-26 |
| 1205079290 | Caromont Medical Group Inc | Family Medicine | 305 W. College Ave, Boiling Springs, NC 28017-0815 | 2009-04-07 |
| 1124207725 | Caromont Medical Group Inc | Family Medicine | 120 S Mountain St, Cherryville, NC 28021-3421 | 2007-10-31 |
| 1982883583 | Caromont Medical Group Inc | Family Medicine | 1895 Hoffman Road, Suite A, Gastonia, NC 28054-6557 | 2007-10-31 |
| 1952580557 | Caromont Medical Group Inc | Family Medicine | 4235 S. New Hope Road, Suite A, Gastonia, NC 28056-8453 | 2007-10-31 |
| 1407035025 | Caromont Medical Group Inc | Family Medicine | 14035 Grandiflora Drive, Ste B, Charlotte, NC 28278-8456 | 2007-10-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1083069017 | Caromont Medical Group Inc | Internal Medicine | 2544 Court Dr, Suite D, Gastonia, NC 28054-3450 | 2016-04-27 |
| Street Address |
2240 REMOUNT RD STE 300 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044163 | Gary Glenn Gammon | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2005-09-27 |
| 1093201345 | April Richard Fulbright | Clinical Pharmacology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2018-07-10 |
| 1396055026 | Bianca Beyder | Physician Assistant | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2010-10-15 |
| 1649583113 | Kimberly A. Mckenney | Nurse Practitioner | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2010-07-26 |
| 1851535058 | Heath C High | Internal Medicine | 2240 Remount Rd, Suite 100, Gastonia, NC 28054-4725 | 2009-05-01 |
| 1851573380 | Caromont Medical Group Inc | Psychiatry & Neurology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2007-11-27 |
| 1124234513 | Lutricia Freeman Bennett | Nurse Practitioner | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2007-05-15 |
| 1306966601 | Caromont Medical Group Inc | Psychiatry & Neurology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2007-03-30 |
| 1053426379 | Richard Alan Fricker | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2006-08-19 |
| 1780698753 | Amsalu Moges Bizuneh | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457403206 | James Russell Devillier | Pathology | 296 Denada Path, Roxboro, NC 27574-6306 | 2007-01-18 |
| 1588633911 | Anthony Alfredo Corsini | Pathology | Naval Hospital Camp Lejeune, Lab Dept. 51, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2006-03-17 |
| 1659926749 | Manuel Torres | Pathology | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-08-06 |
| 1942481247 | Kemery Linay Gilbert | Pathology | 201 E Grover St, Shelby, NC 28150-3917 | 2007-11-15 |
| 1982808929 | Eagle Physicians and Associates Pa | Pathology | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1230 | 2007-06-13 |
| 1003022468 | Jennifer Egan | Pathology | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-15 |
| 1659584837 | Alicia Carter | Pathology | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-07 |
| 1497968606 | Ruth Fulghum Walters | Pathology | 2238 Nelson Hwy, Suite 100, Chapel Hill, NC 27517-8914 | 2007-05-07 |
| 1942413083 | Stephanie P Mathews | Pathology | 143 W Franklin St, Suite 600, Chapel Hill, NC 27516-2539 | 2007-05-07 |
| 1013120161 | Lori Renee Scanga | Pathology | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2007-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.