NPIMap

Organization Active NPI

Gaston Family Health Services, Inc

Doing business as Kintegra Behavioral Health - Shelby

  • Federally Qualified Health Center (FQHC)
  • Shelby, NC
National Provider Identifier
1962227314
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Doing business as
Kintegra Behavioral Health - Shelby
Kintegra Pediatric Medicine - Shelby
Practice address
445 Earl Rd
Shelby, NC 28150
Phone
(704) 482-8282
NPI assigned
Nov 20, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTON FAMILY HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Sharmila Alexander Anderson
Title
Rev Cycle Manager
Phone
(704) 874-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

445 Earl Rd
Shelby, NC 28150

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900

Other names 2

  • Kintegra Behavioral Health - Shelby Doing business as
  • Kintegra Pediatric Medicine - Shelby Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251026000306 NC Part A Provider - Federally Qualified Health Center (FQHC) 5496733925 Practice locations: Shelby, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962227314. Details of each certification follow.

Federally qualified health center certification: CCN B61074

Legal name
GASTON FAMILY HEALTH SERVICES INC
Doing business as
KINTEGRA PEDIATRICS BEHAVIORAL HEALTH FAMILY DENTISTRY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 26, 2025
Last certification
Oct 26, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
445 Earl Rd
Shelby, NC 28150

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
34D0976100Kintegra Pediatric Medicine - Shelby445 Earl Rd, Shelby, NC 28150Certificate of waiverJul 24, 2026
34D2333682Kintegra Behavioral Health - Shelby445 Earl Road, Shelby, NC 28150Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gaston Family Health SE264 organizations share this tax ID, including this one
Part of
Gaston Family Health SE

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Bennett Individual Corporate Director Nov 15, 2023
Shirley Stowe Individual Corporate Director Jul 21, 2014
Laura Bradham Clark Individual Corporate Director Nov 15, 2023
Harold Thornburg Individual Corporate Director Jan 23, 2019
Sharmila Anderson Individual W-2 Managing Employee Jul 2, 2012
Charles Luther Moore Individual Corporate Director Sep 28, 2022
Nicole Parker Waters Individual Corporate Director Nov 15, 2023
John Herrera Individual Corporate Director Jul 21, 2014
Thomas Daniel Williams Individual Corporate Director Oct 23, 2024
Betty Worthy Individual Corporate Director Sep 26, 2018
Theresa Matthews Individual Corporate Director Jul 24, 2019
Stephanie Jacques Parent Individual Corporate Director Oct 23, 2024
Ralph Luther Bentley Individual Corporate Director Jul 1, 2021
Jennifer Foster McCracken Individual Corporate Director Jul 24, 2019
Robert Spencer Individual Corporate OfficerCeo Jan 8, 1996
Corporate DirectorCeo Jan 8, 1996
W-2 Managing Employee Jan 8, 1996
Operational/Managerial Control Jan 8, 1996
James Macomson Individual Corporate Director Nov 28, 2018
Douglas Scarborough Individual Corporate Director Oct 26, 2022
Brian McGinnis Individual Corporate Director Jul 21, 2014
Kristin Hayes Monza Individual Corporate Director Apr 27, 2022
Michele Knapp Individual Corporate Director May 26, 2021
Paula Ratchford Black Individual Corporate Director Feb 25, 2021
Phillip Lee Hinely Individual Corporate Director Jul 21, 2014
Ramona Neal Individual Corporate Director Jul 21, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1962227314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 EARL RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-482-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTON FAMILY HEALTH SERVICES, INC",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "REV CYCLE MANAGER",
        "authorized_official_telephone_number": "704-874-1907"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kintegra Behavioral Health - Shelby",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kintegra Pediatric Medicine - Shelby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.