CAROMONT MEDICAL GROUP INC (NPI# 1215398789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215398789 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | CAROMONT PALLIATIVE CARE PHYSICIANS |
| Practice Address |
258 E Garrison Blvd Suite 101 Gastonia NC 28054-0460 |
| Practice Telephone | 7048655838 |
| Practice Fax Number | 7048343817 |
| Mailing Telephone | 7048655838 |
| Mailing Fax Number | 7048343817 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. DOUGLAS LUCKETT (CEO) |
| Authorized Official Telephone | 7046715326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1215398789 | 05 |
| Other Name | Type Code |
|---|---|
| CaroMont Palliative Care Physicians | 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 |
258 E GARRISON BLVD SUITE 101 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-0460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097916 | Hospice of Gaston County, Inc | Hospice Care, Community Based | 258 E Garrison Blvd, Water Tower Place, Gastonia, NC 28054-0460 | 2005-07-20 |
| 1629514534 | Julie Martie Cornwell | Nurse Practitioner | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 | 2017-01-17 |
| 1962843094 | Michelle Marie Norton | Counselor | 258 E Garrison Blvd, Gastonia, NC 28054-0460 | 2013-07-17 |
| 1720317969 | Chemarra Bryant | Counselor | 258 E Garrison Blvd, Gastonia, NC 28054-0460 | 2009-12-17 |
| 1639408875 | Marianne Cheek Knapp | Counselor | 258 E Garrison Blvd, Gastonia, NC 28054-0460 | 2009-12-17 |
| 1336162239 | Sharon Louise Heinrich | Registered Nurse | 258 E Garrison Blvd, Gaston Hospice, Gastonia, NC 28054-0460 | 2006-07-25 |
| 1184647638 | Gaston Hospice | Counselor | 258 E Garrison Blvd, Water Tower Place, Gastonia, NC 28054-0460 | 2006-07-25 |
| 1518902808 | Ann Hardy Moss | Counselor | 258 E Garrison Blvd, Gastonia, NC 28054-0460 | 2006-06-19 |
| 1447212196 | Michael S Case | Family Medicine | 258 E Garrison Blvd, Gastonia, NC 28054-0460 | 2006-04-06 |
| 1760444632 | Rebecca H Brown | Family Medicine | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 | 2006-04-05 |
| 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 | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760458657 | Hospice of Yancey County, Inc. | Family Medicine | 856 Georges Fork Rd, Burnsville, NC 28714-7842 | 2006-02-28 |
| 1952371353 | Morris Jenkins | Family Medicine | 1266 Asheville Hwy, Transylvania Home Care, Suite 5, Brevard, NC 28712 | 2006-01-26 |
| 1093711160 | Walter B Guthrie | Family Medicine | 244 W Park Dr, Morganton, NC 28655-4218 | 2005-06-23 |
| 1619509049 | Prospero Health Partners North Carolina, PC | Family Medicine | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2020-02-04 |
| 1770138984 | Cmc Geriatric Services | Family Medicine | 403 Fairview St, Clinton, NC 28328-2399 | 2019-08-05 |
| 1578127023 | Home Health and Hospice Care, Inc. | Family Medicine | 2402 Wayne Memorial Dr, Goldsboro, NC 27534-1728 | 2019-04-30 |
| 1467942029 | Hospice of Randolph County, Inc | Family Medicine | 416 Vision Dr, Asheboro, NC 27203-3855 | 2018-05-18 |
| 1871008540 | Hospice of Alamance-caswell Foundation, Inc. | Family Medicine | 914 Chapel Hill Rd, Burlington, NC 27215-6715 | 2017-12-04 |
| 1366802118 | Novant Medical Group Inc | Family Medicine | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-03-07 |
| 1619234028 | Catawba Valley Medical Center | Family Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2012-04-23 |
| 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.