Organization Active NPI

Anthony Medical Clinic, PA

  • Specialist
  • Gastonia, NC
National Provider Identifier
1811933799
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35254 Issued in NC
Legal business name
ANTHONY MEDICAL CLINIC, PA
Practice address
311 W 3Rd Ave
Gastonia, NC 28052-4057
Phone
(704) 865-7096
Fax
(704) 853-3735
NPI assigned
Jun 21, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. William Edward Anthony Jr., M.D.NPI 1336105220
Title
Owner/Physician
Phone
(704) 865-7096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35254 NC Primary

Addresses

Primary practice location

311 W 3Rd Ave
Gastonia, NC 28052-4057

Mailing address

311 W 3Rd Ave
Gastonia, NC 28052-4057
Phone (704) 865-7096

Other identifiers 1

IdentifierTypeStateIssuer
8911584MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000157 NC Part B Supplier - Clinic/Group Practice 3971556861 Receives reassigned benefits from 2 practitioners
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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0875581Anthony Medical Clinic PA311 West Third Avenue, Gastonia, NC 28052Provider-performed microscopyAug 24, 2027

National Provider Directory

National Provider Directory

Locations

311 W 3rd Ave
Gastonia, NC 28052
Phone (704) 865-7096

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1811933799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 3RD AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524057",
            "telephone_number": "704-865-7096",
            "fax_number": "704-853-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 3RD AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524057",
            "telephone_number": "704-865-7096",
            "fax_number": "704-853-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "704-865-7096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "35254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911584",
            "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 Feb 26, 2025; 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.