CAROMONT MEDICAL GROUP INC (NPI# 1083069017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083069017 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | CAROMONT PULMONARY MEDICINE |
| Practice Address |
2544 Court Dr Suite D Gastonia NC 28054-3450 |
| Practice Telephone | 9808345864 |
| Practice Fax Number | 7048640288 |
| Mailing Telephone | 9808345864 |
| Mailing Fax Number | 7048640288 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | DOUGLAS R LUCKETT (CEO) |
| Authorized Official Telephone | 7046715326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CaroMont Pulmonary Medicine | 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 |
| 1215398789 | Caromont Medical Group Inc | Family Medicine | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 | 2016-03-11 |
| Street Address |
2544 COURT DR SUITE D |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559373 | Adolphus Solomon Bonar | Internal Medicine | 2544 Court Dr, Suite A, Gastonia, NC 28054-3450 | 2005-09-27 |
| 1588930937 | Kavithashree Gnanasekaran | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2012-03-30 |
| 1346513223 | Katerina Maria Jones | Nurse Practitioner | 2544 Court Dr, Ste F, Gastonia, NC 28054-3450 | 2012-02-22 |
| 1568753721 | Suzanne Leigh Katsanos | Internal Medicine | 2544 Court Dr, Ste F, Gastonia, NC 28054-3450 | 2011-04-22 |
| 1952691016 | Caromont Medical Group Inc | Surgery | 2544 Court Dr, Ste H, Gastonia, NC 28054-3450 | 2011-04-11 |
| 1013232354 | Gs Cmg LLC | Surgery | 2544 Court Dr, Gastonia, NC 28054-3450 | 2010-03-30 |
| 1558697854 | Ladonna Brown Clark | Physician Assistant | 2544 Court Dr, Suite A, Gastonia, NC 28054 | 2009-10-22 |
| 1427289479 | Mark Moscoe Couture | Surgery | 2544 Court Dr, Suite G, Gastonia, NC 28054-3450 | 2009-08-06 |
| 1811145014 | Carolinas Physicians Network Inc | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2008-09-03 |
| 1003089764 | Amy Little | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2008-04-02 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295767028 | Laura Peno-green | Internal Medicine | 2544 Court Dr Ste D, Gastonia, NC 28054 | 2006-07-06 |
| 1255578878 | Narayan Neupane | Internal Medicine | 2544 Court Dr Ste D, Gastonia, NC 28054-3478 | 2009-01-20 |
| 1740213263 | Anup Banerjee | Internal Medicine | 1021 X Ray Dr, Gastonia, NC 28054-7489 | 2006-07-08 |
| 1497785604 | Mikell J Jarratt | Internal Medicine | 1021 X Ray Dr, Gastonia, NC 28054-7489 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1871034595 | Jane Tramontana | Internal Medicine | 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 | 2017-03-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1154774032 | Roanoke Valley Health Services, Inc | Internal Medicine | 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 | 2016-07-15 |
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1518283373 | Christine Lee Vigeland | Internal Medicine | 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 | 2010-04-19 |
| 1821314014 | Luz Juliana Barahona | Internal Medicine | 706 Rosanne Dr, Kinston, NC 28504-1550 | 2010-04-13 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1164690731 | Pulmonology & Bronchology | Internal Medicine | 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 | 2008-02-15 |
| Find all providers with the same taxonomy | ||||
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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.