Organization Active NPI

TLC Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gastonia, NC
National Provider Identifier
1811280498
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 1, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7705344MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000740 NC DME Supplier - Medical Supply Company 8628241825 Practice locations: Gastonia, NC

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
TLC Group LLC319 E 2ND Ave, Gastonia, NC 28054-7148(704) 854-4545 Commodes, Urinals, Bedpans|Heat & Cold Applications|Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Sep 15, 2011

National Provider Directory

National Provider Directory

Member organizations 1

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

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.

Verify at the official NPI Registry.