NPIMap

Organization Active NPI

Gaston Family Health Services, Inc

Doing business as Kintegra Family Medicine - Xray Dr

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
National Provider Identifier
1306644315
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Doing business as
Kintegra Family Medicine - Xray Dr
Practice address
1021 X Ray Dr
Gastonia, NC 28054-7489
Phone
(704) 874-1900
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTON FAMILY HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Sharmila Alexander Anderson
Title
Rev Cycle Manager
Phone
(704) 874-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1021 X Ray Dr
Gastonia, NC 28054-7489

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900

Other names 1

  • Kintegra Family Medicine - Xray Dr Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229000287 NC Part A Provider - Federally Qualified Health Center (FQHC) 5496733925 Practice locations: Gastonia, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306644315. Details of each certification follow.

Federally qualified health center certification: CCN B61076

Legal name
GASTON FAMILY HEALTH SERVICES INC
Doing business as
KINTEGRA FAMILY MEDICINE - XRAY DR
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 20, 2025
Last certification
Nov 20, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1021 Xray Dr
Gastonia, NC 28054-7489

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2325797Kintegra Family Medicine - Xray Drive1021 Xray Drive, Gastonia, NC 28054Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gaston Family Health SE264 organizations share this tax ID, including this one
Part of
Gaston Family Health SE

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 53)

308 Brewer St
Asheboro, NC 27203
Phone (336) 610-7000

210 School St
Belmont, NC 28012
Phone (704) 836-9135

2620 Tryon Courthouse Rd
Bessemer City, NC 28016
Phone (704) 836-9107

403 6th Ave SW
Catawba, NC 28609
Phone (828) 241-2734

6133 The Plaza
Charlotte, NC 28215
Phone (704) 887-3840

611 E Academy St
Cherryville, NC 28021
Phone (704) 853-5294

4670 Oxford School Rd
Claremont, NC 28610
Phone (828) 241-2754

1133 Ratchford Dr
Dallas, NC 28034
Phone (704) 922-5285

201 Highway 321 S
Dallas, NC 28034
Phone (704) 922-6200

307 S Pine St
Dallas, NC 28034
Phone (704) 922-3636

206 N Little Egypt Rd
Denver, NC 28037
Phone (704) 736-1895

1027 Woodhill Dr
Gastonia, NC 28054
Phone (704) 866-6295

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

119 E 2nd Ave
Gastonia, NC 28052
Phone (704) 659-4808

200 Davis Park Rd
Gastonia, NC 28052
Phone (704) 866-6618

409 S Oakland St
Gastonia, NC 28052

430 W Franklin Blvd
Ste A
Gastonia, NC 28052
Phone (704) 853-5294

1234 3rd St NE
Hickory, NC 28601
Phone (828) 322-5860

1580 32nd St SW
Hickory, NC 28602
Phone (828) 324-8884

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

302 28th Ave NE
Hickory, NC 28601
Phone (828) 327-6300

3205 34th Street Dr NE
Hickory, NC 28601
Phone (828) 256-9841

3350 34th Street Dr NE
Hickory, NC 28601
Phone (828) 256-9545

366 4th St NW
Hickory, NC 28601
Phone (828) 322-1340

3750 N Center St
Hickory, NC 28601
Phone (828) 327-3491

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Bennett Individual Corporate Director Nov 15, 2023
Shirley Stowe Individual Corporate Director Jul 21, 2014
Laura Bradham Clark Individual Corporate Director Nov 15, 2023
Harold Thornburg Individual Corporate Director Jan 23, 2019
Sharmila Anderson Individual W-2 Managing Employee Jul 2, 2012
Charles Luther Moore Individual Corporate Director Sep 28, 2022
Nicole Parker Waters Individual Corporate Director Nov 15, 2023
John Herrera Individual Corporate Director Jul 21, 2014
Thomas Daniel Williams Individual Corporate Director Oct 23, 2024
Betty Worthy Individual Corporate Director Sep 26, 2018
Theresa Matthews Individual Corporate Director Jul 24, 2019
Ralph Luther Bentley Individual Corporate Director Jul 1, 2021
Jennifer Foster McCracken Individual Corporate Director Jul 24, 2019
Robert Spencer Individual Corporate Officer Jan 8, 1996
Corporate Director Jan 8, 1996
W-2 Managing Employee Jan 8, 1996
Operational/Managerial Control Jan 8, 1996
James Macomson Individual Corporate Director Nov 28, 2018
Douglas Scarborough Individual Corporate Director Oct 26, 2022
Brian McGinnis Individual Corporate Director Jul 21, 2014
Kristin Hayes Monza Individual Corporate Director Apr 27, 2022
Michele Knapp Individual Corporate Director May 26, 2021
Paula Ratchford Black Individual Corporate Director Feb 25, 2021
Phillip Lee Hinely Individual Corporate Director Jul 21, 2014
Ramona Neal Individual Corporate Director Jul 21, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 373

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.

View all 373

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1306644315",
    "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": "1021 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547489",
            "telephone_number": "704-874-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "REV CYCLE MANAGER",
        "authorized_official_telephone_number": "704-874-1907"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kintegra Family Medicine - Xray Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.