CAROMONT MEDICAL GROUP INC (NPI# 1205079290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205079290 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | BOILING SPRINGS MEDICAL ASSOCIATES |
| Practice Address |
305 W. College Ave Boiling Springs NC 28017-0815 |
| Practice Telephone | 7044342281 |
| Practice Fax Number | 7044342801 |
| Mailing Telephone | 7044342281 |
| Mailing Fax Number | 7044342801 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | VALINDA L. RUTLEDGE (PRESIDENT, CEO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911776 | 05 |
| Other Name | Type Code |
|---|---|
| Boiling Springs Medical Associates | 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 |
| 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 |
| 1215398789 | Caromont Medical Group Inc | Family Medicine | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 | 2016-03-11 |
| Street Address |
305 W. COLLEGE AVE |
| City | BOILING SPRINGS |
| State | NC |
| Zip Code | 28017-0815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076794 | Jessica R Littleton | Physician Assistant | Gardner Webb University College of Health Sciences, 315 W College Ave, Boiling Springs, NC 28017 | 2020-06-02 |
| 1851947691 | Jennifer Kaitlyn Halama | Physician Assistant | 315 W College Avenue, Boiling Springs, NC 28017 | 2019-08-16 |
| 1730436932 | Tina Hawkins Wesson | Pharmacist | 105 E. College Ave, Boiling Springs, NC 28017 | 2012-08-07 |
| 1356617880 | Tonya Lynn Gantt | Pharmacist | 105 East College Avenue, Boiling Springs, NC 28017 | 2012-03-29 |
| 1558697730 | Crawley Memorial Hospital | Pharmacy | 315 West College Ave., Boiling Springs, NC 28017 | 2009-10-23 |
| 1881798072 | Crawley Memorial Hospital Inc | General Acute Care Hospital | 315 W College Ave, Boiling Springs, NC 28017 | 2006-09-11 |
| 1649897257 | Emily Elizabeth Sandlin | Physician Assistant | 315 West College Ave, Boiling Springs, NC 28017 | 2020-06-30 |
| 1144876186 | Morgan Durand | Physician Assistant | 315 W College Ave, Boiling Spring, NC 28017 | 2019-08-15 |
| 1316593668 | Nicholas Sottile | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-08-13 |
| 1316502677 | Erica Crockett | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-05-02 |
| Find all providers in zip 28017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345570 | Pinnacle Health Regional Physicians | Family Medicine | 210 Forge Rd Ste 2, Boiling Springs, PA 17007-9787 | 2017-06-08 |
| 1750660296 | Rutherford Hospital Inc | Family Medicine | 305 W College Avenue, Boiling Springs, NC 28017-0815 | 2011-08-16 |
| 1417076373 | James Spencer Gainey | Family Medicine | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 | 2007-03-29 |
| 1114946001 | Deborah Jo Taylor | Family Medicine | 240 Laurelwood Dr, Boiling Springs, SC 29316-5929 | 2006-07-19 |
| 1356374037 | Yellow Breeches Family Practice Center | Family Medicine | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2006-07-08 |
| 1528011723 | Melinda Sue Durham | Family Medicine | 2212 Old Furnace Road, Boiling Springs, SC 29316 | 2006-05-18 |
| 1376525667 | Gertrude Po Cotiaux | Family Medicine | 2400 Boiling Springs Rd Ste A, Boiling Springs, SC 29316-5304 | 2005-11-14 |
| 1851389142 | Family Physicians of Boiling Springs | Family Medicine | 3941 Highway 9, Boiling Springs, SC 29316-8578 | 2005-10-11 |
| 1255338752 | Chadler M Jumper | Family Medicine | 210 Forge Rd, Suite 2, Boiling Springs, PA 17007-9787 | 2005-06-30 |
| 1801404066 | Michelle Evans Beaman | Family Medicine | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-14 |
| Find all providers in BOILING SPRINGS | ||||
| City | BOILING SPRINGS |
| Zip Code | 28017 |
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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.