Active NPI
Carlos Saul Anzola, PA-C
- Physician Assistant
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101089
- Practice address
- 2555 Court Dr Ste 200
Gastonia, NC 28054-2178 - Phone
- (704) 867-2141
- Fax
- (704) 867-2308
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101089 | NC | Primary |
Addresses
Primary practice location
2555 Court Dr Ste 200
Gastonia, NC 28054-2178
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Tate Blvd SE
Hickory, NC 28602-4042
Hospital & facility affiliations
- Frye Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101089 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Caromont Medical Group, Inc. | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Physician Assistant | Past | Accepting new patients |
Locations
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
2555 Court Dr
Ste 200
Gastonia, NC 28054
Phone (704) 671-7670
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
415 N Center St
Ste 204
Hickory, NC 28601
Phone (828) 322-8265
1550 Faulk St
Ste 3100
Monroe, NC 28112
Phone (704) 667-3410
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
Interoperability endpoints
- carlos.anzola.1@15786.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Cardiovascular Disease Physician
- Denver, NC
- NPI 1063737484
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Critical Care Medicine (Internal Medicine) Physician
- Gastonia, NC
- NPI 1932380953
-
- Family Medicine Physician
- Boone, NC
- NPI 1861930976
-
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1093253205
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1073596771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR STE 200",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542178",
"telephone_number": "704-867-2141",
"fax_number": "704-867-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZOLA",
"first_name": "CARLOS",
"middle_name": "SAUL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.