NPIMap

Organization Active NPI

Catawba Valley Medical Group, Inc

Doing business as Catawba Valley Family Medicine - Parkway

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1346715067
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CATAWBA VALLEY MEDICAL GROUP, INC
Doing business as
Catawba Valley Family Medicine - Parkway
Practice address
5045 Hickory Blvd
Hickory, NC 28601-8920
Phone
(828) 732-5780
Fax
(828) 732-5781
NPI assigned
Oct 9, 2018
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CATAWBA VALLEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Pamela Gallagher
Title
VP of Finance/Cfo
Phone
(828) 326-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5045 Hickory Blvd
Hickory, NC 28601-8920

Mailing address

PO Box 890273
Charlotte, NC 28289-0273
Phone (828) 326-3652

Other names 1

  • Catawba Valley Family Medicine - Parkway Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000030 NC Part B Supplier - Clinic/Group Practice 6305007279 Receives reassigned benefits from 162 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickory, NC; Lenoir, NC; Maiden, NC; Newton, NC; Sherrills Ford, NC; Sherrills FRD, NC; Taylorsville, NC; Claremont, NC…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

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
34D1104281Catawba Valley Family Medicine5045 Hickory Blvd, Hickory, NC 28601Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory
Part of
Catawba Valley Medical

Locations

5045 Hickory Blvd
Hickory, NC 28601
Phone (828) 212-1020

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1346715067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890273",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890273",
            "telephone_number": "828-326-3652",
            "fax_number": "828-326-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 HICKORY BLVD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018920",
            "telephone_number": "828-732-5780",
            "fax_number": "828-732-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATAWBA VALLEY MEDICAL CENTER",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "828-326-3800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catawba Valley Family Medicine - Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.