Individual provider Active NPI

Caroline Dove Stephens, MD

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1629271440
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007-00697 Issued in NC
Practice address
2290 Remount Rd
Gastonia, NC 28054-4725
Phone
(704) 867-1402
Fax
(888) 720-2814
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-00697 NC Primary

Addresses

Primary practice location

2290 Remount Rd
Gastonia, NC 28054-4725

Mailing address

2550 Court Dr Ste 201
Gastonia, NC 28054-2152
Phone (704) 867-1402

Other identifiers 2

IdentifierTypeStateIssuer
1629271440MedicaidNC
5907066MedicaidNC

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
I20070809000166 NC Practitioner - Family Practice 0648361378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Family Practice PLLCGroup PAC ID 2668844168, 3 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2290 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 867-1402

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00697NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Practice PLLC Family Medicine CurrentSince Dec 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

2550 Court Dr
Ste 201
Gastonia, NC 28054
Phone (704) 867-3585

Interoperability endpoints

  • Direct secure messaging: caroline.stephens@648851128123396.direct.elationemr.com
  • Direct secure messaging: caroline.stephens@gfp1.eclinicaldirectplus.com

Organizations & group practices 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1629271440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COURT DR STE 201",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "704-867-1402",
            "fax_number": "704-671-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544725",
            "telephone_number": "704-867-1402",
            "fax_number": "888-720-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CAROLINE",
        "middle_name": "DOVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629271440",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907066",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.