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Mainstreet and Kidsstreet of North Carolina PLLC

Organization Active NPI Urgent Care Clinic/Center · Gastonia, NC

NPI 1538040951 · NPPES record last updated Mar 20, 2026

Key facts

NPI
1538040951
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Practice address
203 S Myrtle School Rd
Gastonia, NC 28052-3515
Phone
(704) 271-1021
NPI assigned
Sep 11, 2025
Organization subpart
No

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 76

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2326562Mainstreet and Kidsstreet of North Carolina, PLLC
203 S Myrtle School Rd, Gastonia, NC 28052		Certificate of waiverJul 6, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251114001402 NC DME Supplier - Physician - Family Practice 6901290238 Practice locations: Gastonia, NC

National Provider Directory

Tax ID family
Mainstreet and Kidsstreet of North Carolina PLLC (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

203 S Myrtle School Rd
Gastonia, NC 28052-3515

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

Other providers in Gastonia, NC

All providers in Gastonia, NC · Urgent Care Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.