Gaston Family Health Services, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GASTON FAMILY HEALTH SERVICES, INC

Practice address

5910 Dixie River Rd
Charlotte, NC 28278-9506

Phone

(980) 344-1010

Fax

(980) 343-1837

NPI assigned

Sep 8, 2026

Organization subpart

Yes

Parent organization

GASTON FAMILY HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Molly Brown Quackenbush

Title

Director of Credentialing

Phone

(704) 874-1904

Specialties & licenses 1

Addresses

Other names 1

• KINTEGRA AT BEREWICK ELEMENTARY Doing business as

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1124938840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 DIXIE RIVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282789506",
            "telephone_number": "980-344-1010",
            "fax_number": "980-343-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "704-874-1904"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINTEGRA AT BEREWICK ELEMENTARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Gast, PT, DPT
• Carli Madison Gastley, PMHNP-BC
• Gaston Family Health Services Inc
• Gaston Family Health Services Inc
• Gaston Family Health Services Inc
• Gaston Family Health Services, Inc
• Gaston Family Health Services, Inc
• Gaston Family Health Services, Inc
• Gaston Family Health Services, Inc.
• Kris Gaston, MD

• All providers in Charlotte, NC
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.