Active NPI
Caromont Medical Group Inc
Doing business as CaroMont Family Medicine
- Family Medicine Physician
- Cherryville, NC
National Provider Identifier
1124207725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAROMONT MEDICAL GROUP INC
- Doing business as
- CaroMont Family Medicine
- Practice address
- 910 E Church St Ste a
Cherryville, NC 28021-2968 - Phone
- (704) 445-0422
- Fax
- (704) 671-7463
- NPI assigned
- Oct 31, 2007
- Last updated
- Aug 18, 2026
- 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 Michael Oconnor
- Title
- Cfo
- Phone
- (704) 671-5343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
910 E Church St Ste a
Cherryville, NC 28021-2968
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124207725 | Medicaid | NC | |
| 0222E | Other | NC | BCBS OF NC |
Other names 1
- CaroMont Family 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 |
|---|---|---|---|
| 34D0967220 | Caromont Family Medicine | Provider-performed microscopy | Mar 25, 2027 |
National Provider Directory
National Provider Directory- Part of
- Caromont Medical Group in
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1538147376
-
- Family Nurse Practitioner
- Dallas, NC
- NPI 1275198814
-
- Family Nurse Practitioner
- Cherryville, NC
- NPI 1679103956
-
- Family Nurse Practitioner
- Cherryville, NC
- NPI 1801668330
-
- Family Nurse Practitioner
- Cherryville, NC
- NPI 1215464961
-
- Family Medicine Physician
- Kings Mountain, NC
- NPI 1154340537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1124207725",
"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": "910 E CHURCH ST STE A",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280212968",
"telephone_number": "704-445-0422",
"fax_number": "704-671-7463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROMONT MEDICAL GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP, INC.",
"enumeration_date": "2007-10-31",
"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": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "704-671-5343"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124207725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "0222E",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CaroMont Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CaroMont Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherryville, NC
- Tina Adams Carlton, LPTA
- Carolina Care Center
- Carolina Care Center of Cherryville, Inc.
- Carolina Care Health and Rehabilitation, LLC (Carolina Care Health and Rehabilitation)
- Carolinas Physicians Network, Inc. (Cherryville Primary Care)
- Caromont Medical Group Inc (CaroMont Urgent Care)
- CCJ Adult Care IV LLC (Walden Pond Care Home)
- Century Care of Cherryville, Inc
- Priya Chandrasekaran
- Cherryville Dental Clinic
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.