Active NPI
Caromont Medical Group Inc
- Pulmonary Disease Physician
- Gastonia, NC
National Provider Identifier
1083069017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CAROMONT MEDICAL GROUP INC
- Practice address
- 934 Cox Rd
Gastonia, NC 28054-3456 - Phone
- (980) 834-5864
- Fax
- (704) 864-0288
- NPI assigned
- Apr 27, 2016
- Organization subpart
- Yes
- Parent organization
- CAROMONT MEDICAL GROUP INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David M Oconnor
- Title
- Cfo
- Phone
- (704) 834-2049
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
934 Cox Rd
Gastonia, NC 28054-3456
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other practice location 1
520 N Dekalb St Ste G
Shelby, NC 28150-4188
Phone (980) 834-5864
Other practice location 2
2000 Caromont Pkwy Ste 203
Belmont, NC 28012-0158
Phone (980) 834-5864
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083069017 | Medicaid | NC | |
| 02CQM | Other | NC | BCBS OF NC |
| NPB913 | Medicaid | SC |
Other names 1
- CaroMont Pulmonary Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000070 | NC | Part B Supplier - Clinic/Group Practice | 3577476258 |
Receives reassigned benefits from 760 practitioners This NPI is an additional NPI on the enrollment Practice locations: Gastonia, NC; Kings Mountain, NC; Lenoir, NC; McAdenville, NC; Morganton, NC; Shelby, NC; Stanley, NC; Belmont, NC… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2114671 | Caromont Pulmonary Medicine | Certificate of waiver | Jun 19, 2028 |
National Provider Directory
National Provider Directory- Part of
- Gaston Health Resources
Locations
2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600
2544 Court Dr
Ste D
Gastonia, NC 28054
Phone (704) 853-3314
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Gastonia, NC
- NPI 1801634563
-
- Hospitalist Physician
- Monroe, NC
- NPI 1427575638
-
- Psychologist
- Gastonia, NC
- NPI 1508187931
-
- Psychiatry Physician
- Asheville, NC
- NPI 1396979993
-
- Nurse Practitioner
- Gastonia, NC
- NPI 1285370247
-
- Psychiatry Physician
- Salisbury, NC
- NPI 1427131796
-
- Psychiatric/Mental Health Nurse Practitioner
- Gastonia, NC
- NPI 1689330995
-
- Pulmonary Disease Physician
- Gastonia, NC
- NPI 1497785604
Pulmonary Disease
-
- Internal Medicine Physician
- Hickory, NC
- NPI 1073928883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1083069017",
"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": "934 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543456",
"telephone_number": "980-834-5864",
"fax_number": "704-864-0288"
}
],
"practiceLocations": [
{
"address_1": "520 N Dekalb St Ste G",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281504188",
"country_code": "US",
"telephone_number": "980-834-5864",
"fax_number": "704-864-0288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Caromont Pkwy Ste 203",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "NC",
"postal_code": "280120158",
"country_code": "US",
"telephone_number": "980-834-5864",
"fax_number": "704-867-0288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROMONT MEDICAL GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
"enumeration_date": "2016-04-27",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "OCONNOR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "704-834-2049"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083069017",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "02CQM",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB913",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CaroMont Pulmonary Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CaroMont Pulmonary Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.