Caromont Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROMONT MEDICAL GROUP INC

Doing business as

CaroMont Urgent Care

Practice address

1895 Hoffman Road
Suite B
Gastonia, NC 28054-6557

Phone

(704) 861-8669

Fax

(704) 865-5081

NPI assigned

Oct 2, 2013

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROMONT MEDICAL GROUP INCAs reported in NPPES

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

Authorized official

Name

David Michael Oconnor

Title

Cfo

Phone

(704) 834-2049

Specialties & licenses 1

Addresses

Other names 1

• CaroMont Urgent Care Doing business as

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

Part of

Caromont Medical Group in

Practitioners 19

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.

• Beril Cakir, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366473035
  NPD
• Sylvia Cierraann Campbell, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1366945446
  NPD
• Jacob Patrick Debelak, D.O.

  • Hospitalist Physician
  • Huntersville, NC
  • NPI 1396915104
  NPD
• James Emanuel Franco, PA-C

  • Physician Assistant
  • Gastonia, NC
  • NPI 1417724394
  NPD
• Waseem Ghannam

  • Family Medicine Physician
  • Pineville, NC
  • NPI 1306080510
  NPD
• Jessica Lynn Grass, MD

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1780944314
  NPD
• Chloe Katherine Kline, PA-C

  • Physician Assistant
  • Belmont, NC
  • NPI 1437992252
  NPD
• Kao A. Lor, NP-C

  • Nurse Practitioner
  • Gastonia, NC
  • NPI 1285027136
  NPD
• Kamari Demond Mitchell, MD

  • Hospitalist Physician
  • Monroe, NC
  • NPI 1184643454
  NPD
• Shantial Latoya Oliver, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1568847564
  NPD
• Kikelomo Adedayo Oshunkentan, MD

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1588823629
  NPD
• Jason Perlman

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1164614459
  NPD

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1700213956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 HOFFMAN ROAD",
            "address_2": "SUITE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546557",
            "telephone_number": "704-861-8669",
            "fax_number": "704-865-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
        "enumeration_date": "2013-10-02",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-834-2049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaroMont Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc (CaroMont Psychiatric Associates)
• Caromont Medical Group Inc (CaroMont Neurosurgery)
• Caromont Medical Group Inc (Carolina Cardiovascular and Thoracic Surgery Associates)
• Caromont Medical Group Inc (Ashley Women's Center)
• Caromont Medical Group Inc (CaroMont Neurology)
• Caromont Medical Group Inc (Atrium Women's Specialist)
• Caromont Medical Group Inc (Carolina Surgery)
• Caromont Medical Group Inc (Carolina Heart Specialists)
• Caromont Medical Group Inc (CaroMont Vascular Center)

• Family Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.