Individual provider Active NPI

Mikell Jenkins Jarratt, M.D.

  • Pulmonary Disease Physician
  • Gastonia, NC
National Provider Identifier
1497785604
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9400850 Issued in NC
Practice address
934 Cox Rd
Gastonia, NC 28054-3456
Phone
(980) 834-5864
Fax
(704) 864-0288
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 9400850 NC Primary

Addresses

Primary practice location

934 Cox Rd
Gastonia, NC 28054-3456

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

1021 X Ray Dr
Gastonia, NC 28054-7489
Phone (704) 867-2341

Other practice location 2

2000 Caromont Pkwy Ste 203
Belmont, NC 28012-0158
Phone (980) 834-5864

Other identifiers 4

IdentifierTypeStateIssuer
N00850MedicaidSC
45833OtherNCBCBSNC PROVIDER #
8945833MedicaidNC
110125035OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000492 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3678529963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

Gastonia, NC 28054
Phone (704) 671-5343

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

934 Cox Rd
Gastonia, NC 28054-3456
Phone (980) 834-5864

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9400850NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Pulmonary Disease CurrentSince Jun 30, 2025 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Gastonia Medical Specialty Clinic PA CurrentSince Aug 1, 1994 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 30, 2025 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

2000 Caromont Pkwy
Ste 203
Belmont, NC 28012
Phone (980) 834-5864

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1021 X Ray Dr
Gastonia, NC 28054
Phone (704) 867-2341

934 Cox Rd
Gastonia, NC 28054
Phone (704) 824-4410

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

Interoperability endpoints

  • Direct secure messaging: mikell.jarratt@gastoniamedical.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61582

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1497785604",
    "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": "934 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543456",
            "telephone_number": "980-834-5864",
            "fax_number": "704-864-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 X Ray Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547489",
            "country_code": "US",
            "telephone_number": "704-867-2341",
            "fax_number": "704-867-9019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Caromont Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280120158",
            "country_code": "US",
            "telephone_number": "980-834-5864",
            "fax_number": "704-864-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRATT",
        "first_name": "MIKELL",
        "middle_name": "JENKINS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9400850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00850",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER #",
            "identifier": "45833",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110125035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.