GASTON FAMILY HEALTH SERVICES, INC (NPI# 1114322922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114322922 |
| Entity Type | Organization |
| Organization Name | GASTON FAMILY HEALTH SERVICES, INC |
| Other Organization Name | GASTON FAMILY COUNSELING CENTER |
| Practice Address |
409 S Oakland St Gastonia NC 28052-4312 |
| Mailing Address |
200 E Second Ave Gastonia NC 28052-4358 |
| Practice Telephone | 7048749005 |
| Practice Fax Number | 7048749001 |
| Mailing Telephone | 7048741904 |
| Mailing Fax Number | 7048672134 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICE ADMINISTRATOR) |
| Authorized Official Telephone | 7048741907 |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTON FAMILY HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GASTON FAMILY COUNSELING CENTER | Doing Business As Name - Organization |
| Kintegra Behavioral Health - Gastonia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577406 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 1205466398 | Gaston Family Health Services, Inc | Clinic/Center | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2020-01-17 |
| 1568092658 | Gaston Family Health Services, Inc | Clinic/Center | 111 Doctors Park, Lincolnton, NC 28092 | 2020-01-17 |
| 1992335145 | Gaston Family Health Services, Inc | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2020-01-16 |
| 1700426376 | Gaston Family Health Services, Inc | Clinic/Center | 100 Ridgeview Dr, Mocksville, NC 27028-2020 | 2020-01-13 |
| 1538709100 | Gaston Family Health Services, Inc | Clinic/Center | 3070 11th Avenue Dr Se, Hickory, NC 28602-8336 | 2020-01-13 |
| 1912547415 | Gaston Family Health Services, Inc | Clinic/Center | 766 Hartness Rd, Statesville, NC 28677-3425 | 2020-01-13 |
| 1053951756 | Gaston Family Health Services, Inc | Clinic/Center | 32 Kirkwood Ave, Lexington, NC 27292-4024 | 2020-01-10 |
| 1437586302 | Gaston Family Health Services, Inc | Clinic/Center | 133 1st Ave Se, Hickory, NC 28602-3005 | 2013-10-08 |
| Street Address |
409 S OAKLAND ST |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447320809 | Brendon Davis Mann | Counselor | 409 S Oakland St, Gastonia, NC 28052-4312 | 2006-11-09 |
| 1437792157 | Joy Sabrina Buford | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-10-25 |
| 1376190330 | Elizabeth Woody | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-08-23 |
| 1598311821 | Kelsey Wayne | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-08-13 |
| 1306491659 | Carly Patterson | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-08-05 |
| 1578117420 | Victoria Brown Pendergrass | Counselor | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-07-30 |
| 1003460817 | Sara Yang | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-07-30 |
| 1568015303 | Sarah Emily Mclamb | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-07-22 |
| 1871146712 | Monica Hart | Social Worker | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-07-19 |
| 1467005470 | Andrew Brian Miller | Counselor | 409 S Oakland St, Gastonia, NC 28052-4312 | 2019-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164084562 | Gaston Family Health Services, Inc. | Clinic/Center | 1027 Woodhill Dr, Gastonia, NC 28054-2466 | 2019-07-05 |
| 1275195679 | Gaston Family Health Services, Inc. | Clinic/Center | 200 Davis Park Rd, Gastonia, NC 28052-0116 | 2019-07-05 |
| 1215932215 | Gaston Family Health Services, Inc. | Clinic/Center | 991 West Hudson Boulevard, Gastonia, NC 28052-6430 | 2005-06-16 |
| 1992335145 | Gaston Family Health Services, Inc | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2020-01-16 |
| 1962069534 | Gaston Family Health Services, Inc. | Clinic/Center | 620 Summit Crossing Pl, Gastonia, NC 28054-2176 | 2019-05-20 |
| 1942867510 | Gaston Family Health Services, Inc. | Clinic/Center | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2019-05-20 |
| 1124589353 | Gaston Family Health Services, Inc. | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2019-03-29 |
| 1205251766 | Gaston Family Health Services, Inc. | Clinic/Center | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-02-20 |
| 1548389125 | Gaston Family Health Services, Inc. | Clinic/Center | 111 E 3rd Ave, Gastonia, NC 28052-4343 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
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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.