CMC-NORTHEAST, INC.


Address: 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152
Phone: 7044032660

CMC-NORTHEAST, INC. (NPI# 1174823900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174823900
Entity Type Organization
Organization Name CMC-NORTHEAST, INC.
Other Organization Name CAROLINAS PEDIATRIC NEUROLOGY CARE - GASTONIA
Practice Address 2550 Court Dr
Suite 203
Gastonia
NC 28054-2152
Practice Telephone 7044032660
Practice Fax Number 7044032670
Mailing Telephone 7044032660
Mailing Fax Number 7044032670
Enumeration Date 2010-10-27
Last Update Date 2011-11-15
Authorized Official Name FRIEDA M LOWDER (SR. VICE PRESIDENT)
Authorized Official Telephone 7044034146
Is Organization Subpart Y
Parent Organization Name CMC-NORTHEAST, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5916350 05
SC NPB455 05

Other Provider/Organization Names

Other Name Type Code
Carolinas Pediatric Neurology Care - Gastonia Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043525280 Cmc-northeast, Inc. Psychiatry & Neurology 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 2010-08-12
1184777617 Cmc-northeast, Inc. Counselor 105 Yadkin Street, Suite 302, Albemarle, NC 28001-3454 2007-01-19
1497716989 Cmc-northeast, Inc. Internal Medicine 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 2006-04-01
1841595121 Cmc-northeast, Inc. Pediatrics 129 Woodson St, Suite C, Salisbury, NC 28144-3255 2011-01-19
1669777942 Cmc-northeast, Inc. Psychiatry & Neurology 129 Woodson St, Suite B, Salisbury, NC 28144-3255 2011-01-19
1093010407 Cmc-northeast, Inc. Pediatrics 129 Woodson St, Suite A, Salisbury, NC 28144-3255 2011-01-14
1972806321 Cmc-northeast, Inc. Psychiatry & Neurology 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 2010-12-07
1831407295 Cmc-northeast, Inc. Internal Medicine 920 Church St N, Northeast Transition of Care, Concord, NC 28025-2927 2010-09-20
1033424270 Cmc-northeast, Inc. Psychiatry & Neurology 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 2010-08-12
1265747497 Cmc-northeast, Inc. Psychiatry & Neurology 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 2010-08-12

Office Location

Street Address 2550 COURT DR
SUITE 203
City GASTONIA
State NC
Zip Code 28054-2152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881674083 Mecklenburg Home Health, Inc. Home Health 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 2006-01-23
1770940678 Advanced Prosthetics of Easley, Inc. Prosthetic/Orthotic Supplier 2550 Court Dr, Ste 101, Gastonia, NC 28054-2152 2016-01-22
1881021475 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 2550 Court Dr, Ste 203, Gastonia, NC 28054-2152 2013-09-27
1801188941 Carolinas Physicians Network Inc Internal Medicine 2550 Court Dr, Ste 202, Gastonia, NC 28054-2152 2011-05-09
1447540224 Carolinas Medical Center Pediatrics 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 2011-04-13
1346566361 Pediatric Endocrinology & Diabetes Specialists Pediatrics 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 2010-04-15
1700101128 Carolinas Physicians Network Inc Internal Medicine 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 2010-03-29
1396068151 Carolinas Physicians Network, Inc. Urology 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 2010-03-09
1285817445 Primary Health Concepts Home Health 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 2007-12-11
1710160981 Primary Health Concepts Nursing Care 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 2007-12-11
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881021475 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 2550 Court Dr, Ste 203, Gastonia, NC 28054-2152 2013-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1740547496 Dmitry Tchapyjnikov Psychiatry & Neurology Dept of Pediatrics Duke University Medical Ctr, 2301 Erwin Rd., Children's Health Center, Duke Universi, Durham, NC 27710-0001 2012-04-19
1043525280 Cmc-northeast, Inc. Psychiatry & Neurology 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 2010-08-12
1750610689 Virinder Nohria Psychiatry & Neurology 111 Skyline View Rd, Franklin, NC 28734-4769 2009-12-24
1144463993 Monica Elizabeth Lemmon Psychiatry & Neurology Dumc 3936, Durham, NC 27710-6667 2009-04-09
1245431600 Yael Shiloh-malawsky Psychiatry & Neurology 170 Manning Dr., Department of Neurology Cb#7025, Chapel Hill, NC 27514-4220 2007-05-31
1598795635 Kadry R Allaboun Psychiatry & Neurology 115 Foothills Dr, Morganton, NC 28655-5152 2006-07-04
1962473033 David Jay Jaffe Psychiatry & Neurology 508 Sandhurst Dr, A, Fayetteville, NC 28304-4434 2006-01-27
1558368936 Susan B Boutilier Psychiatry & Neurology 2280 Hemby Ln, Greenville, NC 27834-3773 2005-06-30
1164987616 Novant Medical Group Inc Psychiatry & Neurology 311 Coddle Market Dr Nw, Ste 200, Concord, NC 28027-2432 2019-02-08
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Competitor

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City GASTONIA
Zip Code 28054

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Dataset Information

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.

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