CAROMONT MEDICAL GROUP, INC. (NPI# 1720377625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720377625 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP, INC. |
| Other Organization Name | CAROLINAS PLASTIC SURGERY CENTER |
| Practice Address |
2391 Court Dr Suite 120b Gastonia NC 28054-2196 |
| Mailing Address |
Po Box 531797 Atlanta GA 30353-1797 |
| Practice Telephone | 7048740095 |
| Practice Fax Number | 7048668680 |
| Mailing Telephone | 7048342450 |
| Mailing Fax Number | 7046715331 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | DAVID M OCONNOR (CFO) |
| Authorized Official Telephone | 7048342049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas Plastic Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124682927 | Caromont Medical Group, Inc. | Family Medicine | 3326 Bessemer City Road, Bessemer City, NC 28016-8781 | 2019-04-26 |
| 1023511169 | Caromont Medical Group, Inc. | Family Medicine | 600 W Trade St Ste B, Dallas, NC 28034-1543 | 2018-03-15 |
| 1093063398 | Caromont Medical Group, Inc. | Surgery | 620 Summit Crossing Pl Ste 108b, Gastonia, NC 28054-2189 | 2012-08-17 |
| 1053616714 | Caromont Medical Group, Inc. | Family Medicine | 3605 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8652 | 2011-01-11 |
| 1932380953 | Caromont Medical Group, Inc. | Internal Medicine | 2240 Remount Rd Ste 100, Gastonia, NC 28054-4725 | 2007-11-19 |
| 1952936767 | Caromont Medical Group, Inc. | Family Medicine | 1223 Spruce St, Belmont, NC 28012-3371 | 2020-03-12 |
| 1114420254 | Caromont Medical Group, Inc. | Family Medicine | 600 W Trade St Ste A, Dallas, NC 28034-1543 | 2018-03-15 |
| 1679074181 | Caromont Medical Group, Inc. | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2018-02-21 |
| 1982030466 | Caromont Medical Group, Inc. | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2013-09-17 |
| 1265722318 | Caromont Medical Group, Inc. | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2011-04-11 |
| Street Address |
2391 COURT DR SUITE 120B |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696522 | Walter Harry Caulfield IIi | Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2005-08-19 |
| 1144658246 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 2391 Court Dr, Ste 105, Gastonia, NC 28054-2196 | 2013-10-29 |
| 1982030466 | Caromont Medical Group, Inc. | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2013-09-17 |
| 1922398080 | Caromont Medical Group Inc | Surgery | 2391 Court Dr, Suite 120a, Gastonia, NC 28054-2196 | 2011-04-11 |
| 1548571672 | Cpsc Cmg LLC | Plastic Surgery | 2391 Court Dr, Ste 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1972814010 | Hcoc Cmg LLC | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1528221272 | Ashley M Walker | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2008-07-02 |
| 1376674028 | Jaime Villarreal | Internal Medicine | 2391 Court Dr, Ste 110, Gastonia, NC 28054 | 2007-03-07 |
| 1184797219 | Parag Madhav Phadke | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2006-11-16 |
| 1134138142 | Adoration Home Health Care Virginia LLC | Home Health | 2391 Court Dr, Suite 105, Gastonia, NC 28054-2196 | 2006-08-07 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696522 | Walter Harry Caulfield IIi | Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2005-08-19 |
| 1821068891 | Southeastern Plastic Surgery PC | Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2006-01-24 |
| 1134111289 | Eric Tomson Emerson | Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
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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.