Organization Active NPI

New Hope Medical Clinic, PC

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1679700843
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17583 Issued in NC
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

Updated by the provider on Oct 2, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 17583 NC Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 9300173 NC
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1679700843MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.