Anthony Medical Clinic, PA

Organization Active NPI Specialist · Gastonia, NC

NPI 1811933799 · NPPES record last updated Feb 26, 2025

Key facts

NPI
1811933799
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
35254 (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
Organization subpart
No

Authorized official

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

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

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

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 35254 NC Yes

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

IdentifierTypeStateIssuer
8911584MedicaidNC

Other providers in Gastonia, NC

All providers in Gastonia, NC · Specialist in North Carolina

Sources for this page

Verify at the official NPI Registry.