CAROMONT MEDICAL GROUP INC (NPI# 1184805103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184805103 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | ENDOCRINOLOGY ASSOCIATES |
| Practice Address |
2544 Court Dr Ste A Gastonia NC 28054-3450 |
| Mailing Address |
Po Box 744786 Atlanta GA 30374-4786 |
| Practice Telephone | 7046716400 |
| Practice Fax Number | 7046716449 |
| Mailing Telephone | 7048342450 |
| Mailing Fax Number | 7046715331 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | KENNETH CHRISTOPHER PEEK (CEO) |
| Authorized Official Telephone | 7048342000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015AR | 05 |
| Other Name | Type Code |
|---|---|
| Endocrinology Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Village Harbor Dr Ste B, Lake Wylie, SC 297109092 | 7046716400 | 7046716449 |
| 1212 Spruce St Ste 305e, Belmont, NC 280123386 | 7046716400 | 7046716449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1710359757 | Caromont Medical Group Inc | Anesthesiology | 1212 Spruce Street, Suite 305a, Belmont, NC 28012-3386 | 2015-10-29 |
| 1285940445 | Caromont Medical Group Inc | Family Medicine | 3845 S. New Hope Rd, Gastonia, NC 28056-8439 | 2010-08-26 |
| 1205079290 | Caromont Medical Group Inc | Family Medicine | 305 W. College Ave, Boiling Springs, NC 28017-0815 | 2009-04-07 |
| 1124207725 | Caromont Medical Group Inc | Family Medicine | 120 S Mountain St, Cherryville, NC 28021-3421 | 2007-10-31 |
| 1982883583 | Caromont Medical Group Inc | Family Medicine | 1895 Hoffman Road, Suite A, Gastonia, NC 28054-6557 | 2007-10-31 |
| 1952580557 | Caromont Medical Group Inc | Family Medicine | 4235 S. New Hope Road, Suite A, Gastonia, NC 28056-8453 | 2007-10-31 |
| 1407035025 | Caromont Medical Group Inc | Family Medicine | 14035 Grandiflora Drive, Ste B, Charlotte, NC 28278-8456 | 2007-10-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1083069017 | Caromont Medical Group Inc | Internal Medicine | 2544 Court Dr, Suite D, Gastonia, NC 28054-3450 | 2016-04-27 |
| Street Address |
2544 COURT DR STE A |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559373 | Adolphus Solomon Bonar | Internal Medicine | 2544 Court Dr, Suite A, Gastonia, NC 28054-3450 | 2005-09-27 |
| 1083069017 | Caromont Medical Group Inc | Internal Medicine | 2544 Court Dr, Suite D, Gastonia, NC 28054-3450 | 2016-04-27 |
| 1588930937 | Kavithashree Gnanasekaran | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2012-03-30 |
| 1346513223 | Katerina Maria Jones | Nurse Practitioner | 2544 Court Dr, Ste F, Gastonia, NC 28054-3450 | 2012-02-22 |
| 1568753721 | Suzanne Leigh Katsanos | Internal Medicine | 2544 Court Dr, Ste F, Gastonia, NC 28054-3450 | 2011-04-22 |
| 1952691016 | Caromont Medical Group Inc | Surgery | 2544 Court Dr, Ste H, Gastonia, NC 28054-3450 | 2011-04-11 |
| 1013232354 | Gs Cmg LLC | Surgery | 2544 Court Dr, Gastonia, NC 28054-3450 | 2010-03-30 |
| 1558697854 | Ladonna Brown Clark | Physician Assistant | 2544 Court Dr, Suite A, Gastonia, NC 28054 | 2009-10-22 |
| 1427289479 | Mark Moscoe Couture | Surgery | 2544 Court Dr, Suite G, Gastonia, NC 28054-3450 | 2009-08-06 |
| 1811145014 | Carolinas Physicians Network Inc | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962531921 | Kimberly Denise Clay | Internal Medicine | 2544 Court Dr Ste A, Gastonia, NC 28054-3450 | 2007-03-05 |
| 1578559373 | Adolphus Solomon Bonar | Internal Medicine | 2544 Court Dr, Suite A, Gastonia, NC 28054-3450 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030595 | Eric Lewis | Internal Medicine | 306 Parkridge Ave, Chapel Hill, NC 27517-8137 | 2014-07-07 |
| 1588077176 | Greensboro Endocrinology Pllc | Internal Medicine | 7 Corporate Center Ct Ste C, Greensboro, NC 27408-3839 | 2014-06-11 |
| 1043656770 | Thomas Cary Cameron | Internal Medicine | Division of Endocrinology & Metabolism, 8025 Burnett Womack Building, Chapel Hill, NC 27599-7170 | 2013-05-21 |
| 1033489216 | Tesfaye D Fanta Md Pllc | Internal Medicine | 910 W Harrison St, Reidsville, NC 27320-3324 | 2012-01-05 |
| 1548556749 | Leah Elizabeth Kang-oh | Internal Medicine | 755 Highland Oaks Dr Suite 201, Winston-salem, NC 27103 | 2011-06-26 |
| 1558656702 | Diabetes Management Solutions | Internal Medicine | 1100 Navaho Dr Ste 249, Raleigh, NC 27609-7364 | 2011-06-16 |
| 1174813570 | Chinenyenwa Usoh | Internal Medicine | 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 2011-04-19 |
| 1366745259 | Carolinas Physicians Network Inc | Internal Medicine | 908 Donita Drive, Lincolnton, NC 28092-3643 | 2010-12-15 |
| 1982916342 | Vengamamba Polu | Internal Medicine | 701 Doctors Dr Ste D, Kinston, NC 28501-1584 | 2010-07-13 |
| 1073838132 | Alexandria Atuahene Opata | Internal Medicine | 16525 Holly Crest Ln Ste 230, Huntersville, NC 28078-4912 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.