Individual provider Active NPI

Carolin Haeusler Rossavik

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
National Provider Identifier
1043710312
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2024-02466 Issued in NC
Practice address
620 Summit Crossing PL Ste 108a
Gastonia, NC 28054-2189
Phone
(704) 865-2229
Fax
(704) 865-2811
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2024-02466 NC Primary

Addresses

Primary practice location

620 Summit Crossing PL Ste 108a
Gastonia, NC 28054-2189

Mailing address

620 Summit Crossing PL Ste 108a
Gastonia, NC 28054-2189
Phone (704) 865-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016004892 NC Practitioner - Obstetrics/Gynecology 9739555699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000

1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone (704) 865-7416

2000 Caromont Pkwy
Belmont, NC 28012-0159

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2024-02466NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Caromont Medical Group Inc Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

620 Summit Crossing Pl
Ste 108A
Gastonia, NC 28054
Phone (704) 865-2229

519 Nautical Dr
Ste 100C
Clover, SC 29710
Phone (704) 865-7416

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1043710312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PL STE 108A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542189",
            "telephone_number": "704-865-2229",
            "fax_number": "704-865-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PL STE 108A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542189",
            "telephone_number": "704-865-2229",
            "fax_number": "704-865-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEUSLER ROSSAVIK",
        "first_name": "CAROLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2024-02466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.