Gaston County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

GASTON COUNTY

Doing business as

Gaston County Health Department

Practice address

991 W Hudson Blvd
Gastonia, NC 28052-6430

Phone

(704) 853-5000

Fax

(704) 862-6194

NPI assigned

Aug 22, 2006

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn C Ashworth

Title

Patient Accounts Supervisor

Phone

(704) 862-5404

Specialties & licenses 14

Addresses

Other identifiers 4

Other names 1

• Gaston County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gaston County

  • Land Ambulance
  • Gastonia, NC
  • NPI 1932258506

  1456257831

  Same PAC ID

Tax ID family

Gastonn County Health D5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Gaston County Department of Social Services

  • Case Management Agency
  • Gastonia, NC
  • NPI 1245376151
  NPD tax ID
• Gaston County Government

  • Case Management Agency
  • Gastonia, NC
  • NPI 1477709806
  NPD tax ID
• Gaston County Health Department

  • Community Health Clinic/Center
  • Gastonia, NC
  • NPI 1275668345
  NPD tax ID
• Gaston County Health Department

  • Public Health or Welfare Agency
  • Gastonia, NC
  • NPI 1780903831
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Gaston County

  • Land Ambulance
  • Gastonia, NC
  • NPI 1932258506

  Member Of

  NPD member

Practitioners 1

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.

• Tia Robertson

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
  • NPI 1881915932
  Medicare reassignment NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1770699514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5000",
            "fax_number": "704-862-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5000",
            "fax_number": "704-862-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Highland St.",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280526430",
            "country_code": "US",
            "telephone_number": "704-853-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Summit Crossing Place",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280546430",
            "country_code": "US",
            "telephone_number": "704-853-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "ASHWORTH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS SUPERVISOR",
        "authorized_official_telephone_number": "704-862-5404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D1053826",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D1053830",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0683590",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "09321",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04558",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "09322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA740",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404444",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "0107P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890107P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaston County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaston Anesthesia Associates, P.a.
• Gaston Area Lutheran Foundation Inc. (Heritage Oaks Assisted Living)
• Gaston Cardiac Anesthesis and
• Gaston Cardiac Anethesis and
• Gaston Clinical Health Center PLLC
• Gaston County
• Gaston County Department of Social Services
• Gaston County DHHS
• Gaston County Government
• Gaston County Health Department

• Public Health or Welfare Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Public Health or Welfare Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.