Active NPI
Carmen Jade Childers Raszka, NP
- Acute Care Nurse Practitioner
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 5020450
- Practice address
- 2555 Court Dr
Gastonia, NC 28054-2134 - Phone
- (704) 867-2141
- Fax
- (704) 867-2308
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 270643 | NC | |
| Acute Care Nurse Practitioner | 363LA2100X | 5020450 | NC | Primary |
Addresses
Primary practice location
2555 Court Dr
Gastonia, NC 28054-2134
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Gastonia, NC 28054
Phone (704) 671-5343
1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799
934 Cox Rd
Gastonia, NC 28054-3456
Phone (980) 834-5864
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270643 | NC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2555 Court Dr
Gastonia, NC 28054
Phone (704) 867-2141
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Pulmonary Disease Physician
- Gastonia, NC
- NPI 1083069017
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1801634563",
"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": "2555 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-867-2141",
"fax_number": "704-867-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS RASZKA",
"first_name": "CARMEN",
"middle_name": "JADE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "270643",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "5020450",
"primary": true
}
],
"identifiers": [],
"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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.