Active NPI
TLC Group, LLC
- Durable Medical Equipment & Medical Supplies
- Gastonia, NC
National Provider Identifier
1811280498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TLC GROUP, LLC
- Practice address
- 319 E 2ND Ave
Gastonia, NC 28054 - Phone
- (704) 854-4545
- Fax
- (704) 867-8367
- NPI assigned
- May 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura G McPherson
- Title
- Managing Member
- Phone
- (704) 904-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
319 E 2ND Ave
Gastonia, NC 28054
Mailing address
319 E 2ND Ave
Gastonia, NC 28054-7148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705344 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111103000740 | NC | DME Supplier - Medical Supply Company | 8628241825 | Practice locations: Gastonia, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| TLC Group LLC | Commodes, Urinals, Bedpans|Heat & Cold Applications|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Gastonia, NC
- NPI 1467432690
Member Of
Locations
319 E 2nd Ave
Gastonia, NC 28054
Phone (704) 854-4545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527811200000",
"number": "1811280498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-854-4545",
"fax_number": "704-867-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-16",
"last_updated": "2018-06-01",
"status": "A",
"authorized_official_last_name": "MCPHERSON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "704-904-4955",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705344",
"state": "NC"
}
],
"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 Jun 1, 2018; 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.