NPIMap

Organization Active NPI

Gaston Memorial Hospital, Incorporated

Doing business as CaroMont Regional Medical Center

  • General Acute Care Hospital
  • Gastonia, NC
National Provider Identifier
1013918960
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0105 Issued in NC
Legal business name
GASTON MEMORIAL HOSPITAL, INCORPORATED
Doing business as
CaroMont Regional Medical Center
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(704) 834-2000
Fax
(704) 834-2500
NPI assigned
Aug 2, 2005
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David O'Connor
Title
Vice President / Cfo
Phone
(704) 834-2127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0105 NC Primary

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Other identifiers 10

IdentifierTypeStateIssuer
00207OtherBLUE CROSS
0067840OtherAETNA
5040770OtherUNITED HEALTHCARE
3697OtherWELLPATH
0590625010OtherCIGNA
312280OtherFEDERAL BLACKLUNG
371708500OtherDEPARTMENT OF LABOR
460595MedicaidSC
680HOSOtherPARTNERS MEDICARE
3400032MedicaidNC

Other names 1

  • CaroMont Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030626000014 NC Part A Provider - Hospital 1052221017 Practice locations: Lincolnton, NC; Mt. Holly, NC; Gastonia, NC; Belmont, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013918960. Details of each certification follow.

Hospital certification: CCN 340032

Legal name
GASTON MEMORIAL HOSPITAL, INCORPORATED
Doing business as
CAROMONT REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 19, 1970
Last certification
Feb 16, 2018
Beds
442
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 1945 in NC
Enrollment address
2525 Court Dr
Gastonia, NC 28054-2140
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Alcohol/drug, Short-term

Care Compare: Hospital

Medicare Care Compare
Listed as
Caromont Regional Medical CenterCCN 340032 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0242966Caromont Regional Medical Center2525 Court Drive, Gastonia, NC 28054AccreditationFeb 27, 2027
34D0664287Caromont Regional Medical Center2525 Court Drive, Gastonia, NC 28054Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

2000 Caromont Pkwy
Ste 150
Belmont, NC 28012
Phone (980) 394-3100

2000 Caromont Pkwy
Ste 300
Belmont, NC 28012
Phone (980) 394-3300

1840 E Franklin Blvd
Gastonia, NC 28054
Phone (704) 866-9001

2555 Court Dr
Ste 330
Gastonia, NC 28054
Phone (704) 671-5700

2711 X Ray Dr
Ste 1011
Gastonia, NC 28054
Phone (704) 834-3545

640 Summit Crossing Pl
Ste 200
Gastonia, NC 28054
Phone (704) 671-5400

640 Summit Crossing Pl
Ste 205
Gastonia, NC 28054
Phone (704) 671-7838

640 Summit Crossing Pl
Ste 208
Gastonia, NC 28054
Phone (704) 671-5730

660 Summit Crossing Pl
Ste 306
Gastonia, NC 28054
Phone (704) 671-7830

920 Cox Rd
Gastonia, NC 28054
Phone (704) 348-3933

451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266

Networks

  • SC HMO

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pearl Floyd Individual Corporate DirectorBoard Member Jan 26, 2015
Jeffrey Mark McGraw Individual Corporate DirectorBoard Member Jan 1, 2023
Leigh Hickman Individual W-2 Managing EmployeeVP, Clo May 18, 2017
Timothy Conner Individual Corporate Director Jan 1, 2025
Beth Canipe Individual W-2 Managing Employee Aug 15, 2023
Danny Wharton Individual W-2 Managing EmployeeEvp, Coo Dec 11, 2017
Cathy Lynn Thorsell Individual W-2 Managing EmployeeVP, CMG Operations Jul 1, 2022
Jason Thomas Austell Individual Corporate DirectorBoard Member Jan 1, 2022
Robin Lang Individual W-2 Managing EmployeeVP, Cio Dec 31, 2017
Andrew J Dyksterhouse Individual W-2 Managing Employee Jul 1, 2024
William J. Booker Individual W-2 Managing Employee Dec 2, 2024
Kenneth Peek Individual Corporate OfficerPresident & Ceo May 15, 2017
William Hovis Individual Corporate DirectorBoard Member Jan 1, 2020
Frank Stewart Individual Corporate DirectorBoard Member Jan 1, 2020
Caromont Health Inc Organization, Gastonia, NC 5% Or Greater Direct Ownership Interest Dec 19, 2007
Frank Murphy Individual W-2 Managing EmployeeVP, Strategy Feb 19, 2018
Jeffrey Cash Individual Corporate DirectorBoard Member Jan 1, 2018
Timothy Efird Individual Corporate DirectorBoard Member Aug 31, 2021
David M O'Connor Individual W-2 Managing EmployeeEvp, Cfo Dec 3, 2011
Todd R Davis Individual W-2 Managing EmployeeEvp, Cmo Aug 1, 2010
Joseph Davis Individual Corporate DirectorBoard Member Feb 22, 2016
George E Adcock Individual W-2 Managing EmployeeVP, Medical Afairs Apr 9, 2018
Benjamin Hinton Individual Corporate DirectorBoard Member Jan 1, 2022
Erica Flowers Individual W-2 Managing Employee Jan 15, 2024
Daniel Marcus Boyd Individual Corporate DirectorBoard Member Jan 1, 2023
David Payseur Individual Corporate DirectorBoard Member Jun 26, 2017
Janie Peak Individual Corporate DirectorBoard Member Jan 1, 2021
Shiddhi Pankaj Patel Individual Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

Affiliated clinicians 762

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 762

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1013918960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "704-834-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "704-834-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON MEMORIAL HOSPITAL, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "704-834-2127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0067840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5040770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "3697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0590625010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACKLUNG",
            "identifier": "312280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "371708500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460595",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "680HOS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400032",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.