Caromont Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP, INC.

Doing business as

CaroMont Urgent Care

Practice address

3605 Mount Holly Huntersville Rd
Suite B
Charlotte, NC 28216-8652

Phone

(704) 971-2349

Fax

(704) 971-2350

NPI assigned

Jan 11, 2011

Last updated

Apr 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Oconnor

Title

President/Ceo

Phone

(704) 671-5343

Specialties & licenses 1

Addresses

Other names 1

• CaroMont Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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.

• Leanne Rutledge King, FNP

  • Family Nurse Practitioner
  • Newton, NC
  • NPI 1437570504

  Family Medicine

  NPD
• Kimberly Elizabeth Jordan, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1457315947
  NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1053616714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168652",
            "telephone_number": "704-971-2349",
            "fax_number": "704-971-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168652",
            "telephone_number": "704-971-2349",
            "fax_number": "704-971-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-671-5343"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaroMont Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc (CaroMont Urgent Care)
• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc (CaroMont Urgent Care)
• Alexandra Charlotte Caronis, PA
• Carpenter Eye Associates OD, PLLC
• Carrie Ann Carpenter
• Cody Garrett Carpenter, MD
• Corey Scott Carpenter, D.MIN, MTS, LCMHC

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.