Caromont Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Practice address

2315 Court Dr
Gastonia, NC 28054-2151

Phone

(704) 834-2450

Fax

(704) 671-5331

NPI assigned

Feb 10, 2006

Last updated

Aug 9, 2022By the provider in NPPES

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

David Michael Oconnor

Title

Cfo

Phone

(704) 834-2049

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Caromont Medical Group Inc

  dba CaroMont Family Medicine

  • Family Medicine Physician
  • Clover, SC
  • NPI 1568641165

  3577476258

  Same PAC ID

Part of

Caromont Medical Group in

Locations (25 of 39)

Practitioners 802

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.

• Richard Agyekum Addo, PMHNP-BC

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1700419835
  Medicare reassignment Care Compare group NPD
• Jeffrey Ahlstedt

  • Anatomic Pathology & Clinical Pathology Physician
  • Gastonia, NC
  • NPI 1801277355
  Medicare reassignment Care Compare group NPD
• Omar Fasih Ahmed, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Belmont, NC
  • NPI 1457702318
  Medicare reassignment Care Compare group NPD
• Alec Akbarov, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gastonia, NC
  • NPI 1427099787
  Medicare reassignment Care Compare group NPD
• Funmilola Akingbala, FNP

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1679085872
  Medicare reassignment Care Compare group NPD
• Joanne Frances Akong, M.D.

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1235171752
  Medicare reassignment Care Compare group NPD
• Festus Olubanjo Alabi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albemarle, NC
  • NPI 1306500996
  Medicare reassignment Care Compare group NPD
• John Raymond Allbert, MD

  • Maternal & Fetal Medicine Physician
  • Charlotte, NC
  • NPI 1518944420
  Medicare reassignment Care Compare group NPD
• Laura Megan Allen, FNP

  • Family Nurse Practitioner
  • Lawndale, NC
  • NPI 1316370471
  Medicare reassignment Care Compare group NPD
• Rajitha Ambati, MD

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1366601262
  Medicare reassignment Care Compare group NPD
• Shailaja Amirishetty, MD

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1669760534
  Medicare reassignment Care Compare group NPD
• Scott L Anderson, FNP

  • Nurse Practitioner
  • Concord, NC
  • NPI 1992778559
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1356314272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542151",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-834-2049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caromont Medical Group Inc (Endocrinology Associates)
• Caromont Medical Group Inc (CaroMont Palliative Care Physicians)
• Caromont Medical Group Inc (Carolina Cardiovascular and Thoracic Surgery Associates)
• Caromont Medical Group Inc (Gaston Family Medicine)
• Caromont Medical Group Inc (CaroMont Psychiatric Hospitalists)
• Caromont Medical Group Inc (CaroMont Gastroenterology and Hepatology)
• Caromont Medical Group Inc (CaroMont Womens Health)
• Caromont Medical Group Inc (CaroMont Foot and Ankle)
• Caromont Medical Group Inc (CaroMont Orthopedic & Sports Medicine Center)
• Caromont Medical Group Inc (CaroMont Family Medicine)

• 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 Aug 9, 2022; 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.