CAROMONT MEDICAL GROUP INC (NPI# 1679863732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679863732 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | ASHLEY WOMEN'S CENTER |
| Practice Address |
1225 E Garrison Blvd Gastonia NC 28054-5115 |
| Practice Telephone | 7048657416 |
| Practice Fax Number | 7048657232 |
| Mailing Telephone | 7048657416 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | RANDALL L. KELLEY (PRESIDENT, CEO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROMONT MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5917946 | 05 |
| Other Name | Type Code |
|---|---|
| Ashley Women's Center | 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 |
1225 E GARRISON BLVD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133752 | Don Howe | Specialist | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2005-06-13 |
| 1366083677 | Caitlin Mezey Marlow | Advanced Practice Midwife | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2019-10-08 |
| 1942867510 | Gaston Family Health Services, Inc. | Clinic/Center | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2019-05-20 |
| 1932562923 | Lindsay Marie Snook | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2016-03-29 |
| 1366852683 | Rachael E. Mccabe | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054 | 2014-05-08 |
| 1811243967 | Stephanie Y Gilliam | Advanced Practice Midwife | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2012-07-26 |
| 1669766721 | Colleen Lyn Thibaut | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2011-06-07 |
| 1558598730 | Rachel Simpson Miller | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2009-06-16 |
| 1780824508 | Ashley Womens Cmg LLC | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2009-03-06 |
| 1245282680 | Ashley Women's Center, P.a. | Specialist | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2006-05-16 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316374747 | Jamila A Wade | Obstetrics & Gynecology | 2680 Aberdeen Blvd Ste A, Gastonia, NC 28054-0637 | 2013-09-30 |
| 1962458943 | Gaston Women's Healthcare, Pa | Obstetrics & Gynecology | 2680 Aberdeen Blvd, Gastonia, NC 28054-0637 | 2006-05-25 |
| 1447246228 | George Edward Adcock IIi | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 | 2005-09-27 |
| 1932562923 | Lindsay Marie Snook | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2016-03-29 |
| 1366852683 | Rachael E. Mccabe | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054 | 2014-05-08 |
| 1669766721 | Colleen Lyn Thibaut | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2011-06-07 |
| 1144510207 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Place, Suite 108a, Gastonia, NC 28054-2189 | 2011-04-11 |
| 1881915932 | Tia Robertson | Obstetrics & Gynecology | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2010-06-11 |
| 1558598730 | Rachel Simpson Miller | Obstetrics & Gynecology | 1225 E Garrison Blvd, Gastonia, NC 28054-5115 | 2009-06-16 |
| 1750560405 | Caromont Medical Group Inc | Obstetrics & Gynecology | 2544 Court Dr, Ste A, Gastonia, NC 28054-3450 | 2007-10-30 |
| Find all providers in GASTONIA | ||||
Please comment or provide details below to improve the information on CAROMONT MEDICAL GROUP INC.
| 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.