Caromont Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Doing business as

CaroMont Family Medicine

Practice address

214 Cleveland Ave
Kings Mountain, NC 28086-3106

Phone

(704) 730-1228

Fax

(704) 730-1231

NPI assigned

Oct 31, 2007

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 1

Addresses

Other identifiers 1

Other names 1

• CaroMont Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Caromont Medical Group in

Locations

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.

• Timothy Scott Brisbin, FNP-C

  • Primary Care Nurse Practitioner
  • Lenoir, NC
  • NPI 1659721975
  NPD
• John Allyn Cheshire III, PA-C

  • Physician Assistant
  • Kings Mountain, NC
  • NPI 1780607911
  NPD
• Billie Jo Dagenhart, NP-C

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1043756794
  NPD
• Anita Hopkins Godwin, P.A.C.

  • Medical Physician Assistant
  • Gastonia, NC
  • NPI 1932366028
  NPD
• Cheryl Dee Gunther, FNP

  • Family Nurse Practitioner
  • Mount Holly, NC
  • NPI 1639499411
  NPD
• Jessica Marie Pineda, PA-C

  • Physician Assistant
  • Kings Mountain, NC
  • NPI 1053660613
  NPD
• Julia Kirsten Roos, M.D.

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1245299668
  NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1578742177",
    "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": "214 CLEVELAND AVE",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863106",
            "telephone_number": "704-730-1228",
            "fax_number": "704-730-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
        "enumeration_date": "2007-10-31",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890186R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaroMont Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Atrium Health Sleep Medicine)
• Carolinas Physicians Network Inc (Atrium Health Ophthalmology)
• Carolinas Physicians Network Inc (Atrium Health Endocrinology)
• Carolinas Physicians Network, Inc. (Cleveland Plastic and Hand Surgery)
• Carolinas Physicians Network, Inc. (Cleveland Pulmonary and Sleep Associates)
• Molly Whitworth Carpenter, OTR
• Irene De Sotto Catindig
• Center for Self Growth PLLC
• Christopher M. Cerjan, MD
• John Allyn Cheshire III, PA-C

• Family Medicine Physician in Kings Mountain, NC
• Providers in Kings Mountain, 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.