GASTONIA MEDICAL SPECIALTY CLINIC PA
NPI 1023048279
Internal Medicine in Gastonia, NC
About Gastonia Medical Specialty Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GASTONIA MEDICAL SPECIALTY CLINIC PA (NPI 1023048279) is a healthcare organization registered as an internal medicine in Gastonia, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Mikell J Jarratt, Corporate Officer - President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gastonia Medical Specialty Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Gastonia Medical Specialty Clinic PA, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D0243045
Gastonia Medical Specialty Clinic PA · Gastonia, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gastonia Medical Specialty Clinic PA's NPI number?
The NPI number for Gastonia Medical Specialty Clinic PA is 1023048279. It was assigned to this organization in the NPPES registry on July 4, 2006.
Where is Gastonia Medical Specialty Clinic PA located?
Gastonia Medical Specialty Clinic PA is located at 1021 X Ray Dr, Gastonia, NC 28054. The listed phone number is (704) 867-2341.
What is Gastonia Medical Specialty Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gastonia Medical Specialty Clinic PA enrolled in Medicare?
Yes. Gastonia Medical Specialty Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gastonia Medical Specialty Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Gastonia Medical Specialty Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Pulmonary Disease (2) and Internal Medicine (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gastonia Medical Specialty Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0243045) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gastonia Medical Specialty Clinic PA was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gastonia Medical Specialty Clinic Pa · NPI 1023048279
Internal Medicine organization in Gastonia, North Carolina. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1023048279 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mikell Jarratt, CORPORATE OFFICER - PRESIDENT
## Practice location
- **Address:** 1021 X RAY DR, Gastonia, NC 28054-7489
- **Phone:** (704) 867-2341 · **Fax:** (704) 867-9019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Pulmonary Disease (2), Internal Medicine (1); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2014
- **Other identifiers:** Other 01627 (NC); Other CC5252 (NC); Medicaid 5920537 (NC); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023048279) · Data from the CMS NPPES public registry.