Caromont Medical Group Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Doing business as

CaroMont Neurosurgery

Practice address

811 Cox Rd
Gastonia, NC 28054-3453

Phone

(704) 852-3888

Fax

(704) 852-4456

NPI assigned

Sep 11, 2013

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug R Luckett

Title

President/Ceo

Phone

(704) 834-3684

Specialties & licenses 1

Addresses

Other names 1

• CaroMont Neurosurgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• George Edward Adcock III, M.D.

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
  • NPI 1447246228
  NPD
• Tina Nixon Ballard, ACNP-BC

  • Acute Care Nurse Practitioner
  • Gastonia, NC
  • NPI 1871965988
  NPD
• Kathryn Ann Caulfield, MD

  • Orthopaedic Surgery Physician
  • Gastonia, NC
  • NPI 1538146550
  NPD
• Henry L. Danis III, MD

  • Gastroenterology Physician
  • Gastonia, NC
  • NPI 1770560484
  NPD
• Larry Van Carson, MD

  • Neurological Surgery Physician
  • Pensacola, FL
  • NPI 1588764385
  NPD

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1639504491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-834-3684"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• Caromont Medical Group Inc (CaroMont Psychiatric Associates)
• Caromont Medical Group Inc (Carolina Cardiovascular and Thoracic Surgery Associates)
• Caromont Medical Group Inc (Ashley Women's Center)
• Caromont Medical Group Inc (CaroMont Urgent Care)
• Caromont Medical Group Inc (CaroMont Neurology)
• Caromont Medical Group Inc (Atrium Women's Specialist)

• Neurological Surgery Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Neurological Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.