PAVANA TREATMENT GROUP, P.C.
NPI 1043849896
Anesthesiology - Addiction Medicine in Gastonia, NC
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
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pavana Treatment Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pavana Treatment Group, P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 Accreditation 34D2187798
Pavana Treatment Group, PC · 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 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.
Is Pavana Treatment Group, P.C. enrolled in Medicare?
Yes. Pavana Treatment Group, P.C. is registered in the Medicare PECOS enrollment system.
When is Pavana Treatment Group, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pavana Treatment Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pavana Treatment Group, P.C.. 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 (4) and Anesthesiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Pavana Treatment Group, P.c. · NPI 1043849896
Addiction Medicine organization in Gastonia, North Carolina. Organization record, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1043849896 (Entity type: Organization)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Anesthesiology - Addiction Medicine · taxonomy 207LA0401X
- **Organization subpart:** No
- **Authorized official:** Melissa Blocker, CFO
## Practice location
- **Address:** 1560 UNION RD, Gastonia, NC 28054-2209
- **Phone:** (704) 490-4993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Anesthesiology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2024
- **Other identifiers:** Medicaid 1043849896 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043849896) · Data from the CMS NPPES public registry.