Active NPI
Caromont Medical Group Inc
- Psychiatry Physician
- Gastonia, NC
National Provider Identifier
1306966601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CAROMONT MEDICAL GROUP INC
- Practice address
- 2240 Remount Rd
Gastonia, NC 28054-4725 - Phone
- (704) 671-5344
- Fax
- (704) 671-5331
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2240 Remount Rd
Gastonia, NC 28054-4725
Mailing address
2240 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 671-5311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900254 | Medicaid | NC |
Other names 1
- CaroMont Psychiatric Hospitalists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gastonia, NC
- NPI 1134385776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271030400000",
"number": "1306966601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-5311",
"fax_number": "704-671-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-5344",
"fax_number": "704-671-5331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROMONT MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2010-04-12",
"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": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900254",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CaroMont Psychiatric Hospitalists",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.