Caromont Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Practice address

3845 S. New Hope Rd
Gastonia, NC 28056-8439

Phone

(704) 824-9119

Fax

(704) 824-2401

NPI assigned

Aug 26, 2010

Organization subpart

Yes

Parent organization

CAROMONT MEDICAL GROUP INCAs reported in NPPES

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

Authorized official

Name

Valinda Rutledge

Title

President, Ceo

Phone

(704) 834-2133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gaston Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Gaston Health Resources

Locations

Practitioners 2

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

• Susan E Ladd-Snively, M.D.

  • Family Medicine Physician
  • Matthews, NC
  • NPI 1437175791
  NPD
• Abhijeet Shripad Nadkarni, MD

  • Infectious Disease Physician
  • Gastonia, NC
  • NPI 1356469555
  NPD

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1285940445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 S. NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568439",
            "telephone_number": "704-824-9119",
            "fax_number": "704-824-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S. NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568439",
            "telephone_number": "704-824-9119",
            "fax_number": "704-824-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
        "enumeration_date": "2010-08-26",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "VALINDA",
        "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": "5915261",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc
• Caromont Medical Group Inc

• Family Medicine Physician in Gastonia, NC
• Providers in Gastonia, 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 Feb 3, 2011; 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.