KINTEGRA FAMILY MEDICINE - FALLSTON
NPI 1043963564
Clinic/Center - Federally Qualified Health Center (FQHC) in Lawndale, NC
About Kintegra Family Medicine - Fallston NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINTEGRA FAMILY MEDICINE - FALLSTON (NPI 1043963564) is a healthcare organization registered as a federally qualified health center (fqhc) in Lawndale, North Carolina and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Sharmila Alexander Anderson, Medical Billing & Coding Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Kintegra Family Medicine - Fallston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
207Medicare enrollment records show 207 clinicians reassign Medicare billing to Kintegra Family Medicine - Fallston, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 207Source: 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 34D0243155
Kintegra Family Medicine - Fallston · Lawndale, 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 Gaston Family Health Services, Inc.'s NPI number?
The NPI number for Gaston Family Health Services, Inc. is 1043963564. It was assigned to this organization in the NPPES registry on February 3, 2022. The provider is doing business as Kintegra Family Medicine - Fallston.
Where is Gaston Family Health Services, Inc. located?
Gaston Family Health Services, Inc. is located at 5009 Fallston Rd, Lawndale, NC 28090. The listed phone number is (704) 538-8532.
What is Gaston Family Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Gaston Family Health Services, Inc. enrolled in Medicare?
Yes. Gaston Family Health Services, Inc. is registered in the Medicare PECOS enrollment system.
When is Gaston Family Health Services, Inc.'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 November 30, 2026. 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 Gaston Family Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 207 clinicians in 16 Medicare specialties reassign their Medicare billing to Gaston Family Health Services, Inc.. 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 (65), Clinical Social Worker (52) and Family Practice (32). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gaston Family Health Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0243155) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gaston Family Health Services, Inc. was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kintegra Family Medicine - Fallston · NPI 1043963564
Federally Qualified Health Center (FQHC) organization in Lawndale, North Carolina. Organization record, active in the CMS NPPES registry since February 3, 2022.
## Identity
- **NPI:** 1043963564 (Entity type: Organization)
- **Enumerated:** February 3, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Gaston Family Health Services, Inc.
- **Organization subpart:** Yes (part of Gaston Family Health Services, Inc.)
- **Authorized official:** Sharmila Anderson, MEDICAL BILLING & CODING SUPERVISOR
## Practice location
- **Address:** 5009 FALLSTON RD, Lawndale, NC 28090-9585
- **Phone:** (704) 538-8532
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 207 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Clinical Social Worker (52), Family Practice (32); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1043963564/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043963564) · Data from the CMS NPPES public registry.