Caromont Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Doing business as

Boiling Springs Medical Associates

Practice address

305 W. College Ave
Boiling Springs, NC 28017-0815

Phone

(704) 434-2281

Fax

(704) 434-2801

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Valinda L. Rutledge

Title

President, Ceo

Phone

(704) 834-2133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boiling Springs Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyndi Sullens Forrest, APRN-BC MSN

  • Family Nurse Practitioner
  • Shelby, NC
  • NPI 1801990593
  NPD
• Christian E Martin, MD

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1346286366
  NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1205079290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W. COLLEGE AVE",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280170815",
            "telephone_number": "704-434-2281",
            "fax_number": "704-434-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W. COLLEGE AVE",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280170815",
            "telephone_number": "704-434-2281",
            "fax_number": "704-434-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "VALINDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "704-834-2133"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911776",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boiling Springs Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Renee Alston
• Christina Stauber Bergen, PA-C
• Kristin Rosalie Bockelman, A.T.C.
• Boiling Springs Medical Associates, PA
• Jordan Bumgardner
• Betsy Kay Clauss, ATC
• Allyson Connally
• Crawley Memorial Hospital
• Crawley Memorial Hospital Inc
• Crawley Memorial Hospital Inc

• Family Medicine Physician in Boiling Springs, NC
• Providers in Boiling Springs, 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 Jun 9, 2010; 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.