Active NPI
New Hope Medical Clinic, PC
- Family Medicine Physician
- Gastonia, NC
National Provider Identifier
1679700843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17583
- Legal business name
- NEW HOPE MEDICAL CLINIC, PC
- Practice address
- 3670 S New Hope Rd Ste 1
Gastonia, NC 28056 - Phone
- (704) 824-4560
- Fax
- (704) 824-4560
- NPI assigned
- Jun 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Konrad Helmut Kaeding
- Title
- Manager
- Phone
- (302) 518-3022
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17583 | NC | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | 9300173 | NC | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
3670 S New Hope Rd Ste 1
Gastonia, NC 28056
Mailing address
3670 S New Hope Rd Ste 1
Gastonia, NC 28056-8597
Phone (704) 709-3239
Other practice location 1
1050 Revolution Mill Dr Ste 7
Greensboro, NC 27405-5053
Phone (704) 709-3239
Other practice location 2
505 Samaritans Ridge Ct
Elkin, NC 28621-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679700843 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1050 Revolution Mill Dr
Greensboro, NC 27405
Phone (302) 593-5904
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Gastonia, NC
- NPI 1053803643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538438400000",
"number": "1679700843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 S NEW HOPE RD STE 1",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568597",
"telephone_number": "704-709-3239",
"fax_number": "704-478-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 S NEW HOPE RD STE 1",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28056",
"telephone_number": "704-824-4560",
"fax_number": "704-824-4560"
}
],
"practiceLocations": [
{
"address_1": "1050 Revolution Mill Dr Ste 7",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274055053",
"country_code": "US",
"telephone_number": "704-709-3239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 Samaritans Ridge Ct",
"address_purpose": "LOCATION",
"city": "Elkin",
"state": "NC",
"postal_code": "286212457",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW HOPE MEDICAL CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2018-10-02",
"status": "A",
"authorized_official_last_name": "KAEDING",
"authorized_official_first_name": "KONRAD",
"authorized_official_middle_name": "HELMUT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "302-518-3022"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "17583",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9300173",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679700843",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- New Genesis Residential Services, Inc.
- New Genesisi Residential Services, Inc.
- New Hope Counseling and Wellness LLC
- New Hope Family Medicine P.a.
- New Hope Medical Clinic, PC
- New Hope Medical Services PLLC
- New Hope Pharmacy LLC
- New Hope Psychiatric Services of the Carolinas
- New Hope Youth & Family Services of Gastonia
- New Horizon Pathways, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.