Individual provider Active NPI

Carol Bernice Sanders, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1801237441
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024004 Issued in NC
Practice address
2544 Court Dr Ste G
Gastonia, NC 28054-3450
Phone
(704) 854-9990
Fax
(704) 854-9045
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17740 TN
Family Nurse Practitioner 363LF0000X 5024004 NC Primary

Addresses

Primary practice location

2544 Court Dr Ste G
Gastonia, NC 28054-3450

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

105 W Stone Dr Ste 2B
Kingsport, TN 37660-3365
Phone (423) 578-1595

Other practice location 2

1212 Spruce St Ste 307
Belmont, NC 28012-3386
Phone (704) 854-9990

Other practice location 3

135W Ravine Rd 3-a
Kingsport, TN 37660-3847
Phone (423) 246-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130816000540 TN Practitioner - Nurse Practitioner 2769624980 Reassigns benefits to 2 organizations
I20260603003615 NC Practitioner - Nurse Practitioner 2769624980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3256

322 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 217-1360

350 Steeles Rd
Unit 1
Bristol, TN 37620-9532
Phone (423) 844-4925

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5024004NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC CurrentSince Jul 11, 2025 Accepting new patients
Gastroenterology Associates CurrentSince Oct 5, 2015 Accepting new patients
Gastroenterology Associates CurrentSince Oct 5, 2015 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

135 W Ravine Rd
Ste 3-A
Kingsport, TN 37660
Phone (423) 246-6777

105 W Stone Dr
Ste 2B
Kingsport, TN 37660
Phone (423) 247-7500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1801237441",
    "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": "2544 COURT DR STE G",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543450",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Stone Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603365",
            "country_code": "US",
            "telephone_number": "423-578-1595",
            "fax_number": "423-578-1596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Spruce St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280123386",
            "country_code": "US",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135W RAVINE RD 3-A",
            "address_purpose": "LOCATION",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603847",
            "country_code": "US",
            "telephone_number": "423-246-6777",
            "fax_number": "423-246-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CAROL",
        "middle_name": "BERNICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17740",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.