PAVANA TREATMENT GROUP, P.C.
NPI 1043849896
Anesthesiology - Addiction Medicine in Gastonia, NC

Active since April 03, 2020CLIA 34D2187798 · Accreditation
1560 UNION RD, GASTONIA, NC 28054(704) 490-4993 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jun 3, 2021, May 30, 2021 and 1 more (4 updates tracked since 2020).

About Pavana Treatment Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVANA TREATMENT GROUP, P.C. (NPI 1043849896) is a healthcare organization registered as an addiction medicine in Gastonia, North Carolina and active in the NPI registry since April 2020. The organization holds an CLIA Accreditation certificate valid through April 29, 2028, maintains 2 additional practice locations, and lists Melissa Blocker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043849896
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NamePAVANA TREATMENT GROUP, P.C.
Location Address1560 UNION RDGastonia, NC 28054-2209
Mailing Address1560 Union RdGastonia, NC 28054-2209 · (704) 490-4993
Organization SubpartNo
Authorized OfficialMelissa BlockerCfo · (864) 800-3223
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1043849896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1560 UNION RD, Gastonia, NC 28054

Secondary Practice Locations 2

Location 11909 Bragg Blvd Ste 94Fayetteville, NC 28303-4386 · Phone (984) 246-5300
Location 21309 E Sunset DrMonroe, NC 28112-4324 · Phone (704) 490-4993

Other Identifiers 1

Medicaid1043849896NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Accreditation 34D2187798

Pavana Treatment Group, PC · Gastonia, NC
Active · expires Apr 29, 2028
CLIA Number34D2187798
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorMr. William Cleveland Jr
Laboratory Phone(704) 490-4993
Laboratory LocationPavana Treatment Group, PC1560 Union Road, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1560 UNION RD
GASTONIA, NC 28054

Frequently 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 Pavana Treatment Group, P.C.'s NPI number?

The NPI number for Pavana Treatment Group, P.C. is 1043849896. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Pavana Treatment Group, P.C. located?

Pavana Treatment Group, P.C. is located at 1560 Union Rd, Gastonia, NC 28054. The listed phone number is (704) 490-4993.

What is Pavana Treatment Group, P.C.'s specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Does Pavana Treatment Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2187798) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pavana Treatment Group, P.C. accept?

Health plans from Blue Cross and Blue Shield of NC list Pavana Treatment Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pavana Treatment Group, P.C. was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.