GQ Internal Medicine and Pediatrics PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GQ INTERNAL MEDICINE AND PEDIATRICS PLLC

Practice address

111 S Salisbury GQ Ave
Salisbury, NC 28146-8150

Phone

(704) 798-3528

NPI assigned

Nov 24, 2023

Organization subpart

No

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

Authorized official

Name

Joel Linn

Title

Administrator

Phone

(704) 798-3528

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Caron, MD

  • Internal Medicine Physician
  • Granite Quarry, NC
  • NPI 1467518928
  Medicare reassignment Care Compare group NPD
• Jennifer Hartsell Alderman, PA-C

  • Physician Assistant
  • Salisbury, NC
  • NPI 1225182686
  Medicare reassignment Care Compare group
• Jessica Smith Goodman, FNP-C

  • Nurse Practitioner
  • Granite Quarry, NC
  • NPI 1225630080
  Medicare reassignment NPD
• Taylor Honeycutt Gobble, FNP

  • Family Nurse Practitioner
  • Rockwell, NC
  • NPI 1659193381
  Medicare reassignment
• Carly Ann Walden, PA-C

  • Medical Physician Assistant
  • Salisbury, NC
  • NPI 1588543888
  Medicare reassignment
• Joseph Garner

  • Otolaryngology Physician
  • Boone, NC
  • NPI 1790344414
  NPD

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1699540203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S SALISBURY GQ AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281468150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S SALISBURY GQ AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281468150",
            "telephone_number": "704-798-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GQ INTERNAL MEDICINE AND PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-798-3528"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Maners Gordon, PA
• Robert C. Gordon, D.C.
• Frederick U Goss, M.D.
• Katelynn Olivia Gottfried
• Kaitlin Jane Goulet
• Grace Wellness and Supportive Services LLC
• Charles Pattison Graham Jr., M.D.
• Kenneth James Graham, PHARMD
• Kim Corbin Graham, COTA
• Lauren Elizabeth Graham, PA-C

• Internal Medicine Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.