Individual provider Active NPI

Charles John Girard II, M.D.

  • Diagnostic Radiology Physician
  • Gastonia, NC
National Provider Identifier
1659540219
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2007-0206 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(704) 834-2000
Fax
(706) 653-4711
NPI assigned
Feb 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD20044 RI
Diagnostic Radiology Physician 2085R0202X 55881 AZ
Diagnostic Radiology Physician 2085R0202X 2007-0206 NC Primary

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

PO Box 745431
Atlanta, GA 30374-5431
Phone (843) 449-5360

Other practice location 1

222 N Lafayette St
Shelby, NC 28150-4444
Phone (704) 482-3880

Other practice location 2

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone (480) 456-9000

Other practice location 3

450 Veterans Memorial Pkwy Bldg 2
East Providence, RI 02914-5300
Phone (401) 432-2500

Other identifiers 3

IdentifierTypeStateIssuer
2022551OtherMEDICARE
5909735OtherNCNC MEDICAID
N0020DOtherSCSC MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080815000423 NC Practitioner - Diagnostic Radiology 7618042292 Reassigns benefits to 1 organization
I20190321002043 AZ Practitioner - Diagnostic Radiology 7618042292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Radiology PAGroup PAC ID 4082680806, 29 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

451 E Charlotte Ave
Mt Holly, NC 28120-2211
Phone (980) 834-2297

620 Summit Crossing Place
Suite 106
Gastonia, NC 28054-2176
Phone (704) 864-4378

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55881AZMDDiagnostic Radiology Physician
2007-0206NCMDDiagnostic Radiology Physician
MD20044RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Radiology PA Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Gaston Radiology Diagnostic Radiology Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

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

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

Organizations & group practices 3

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 7

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1659540219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745431",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745431",
            "telephone_number": "843-449-5360",
            "fax_number": "706-653-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "706-653-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281504444",
            "country_code": "US",
            "telephone_number": "704-482-3880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6424 E Broadway Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061750",
            "country_code": "US",
            "telephone_number": "480-456-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Bldg 2",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-432-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD20044",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "55881",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2007-0206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2022551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "5909735",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N0020D",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.