CAROLINA MERCY MEDICAL CLINIC PC
NPI 1104154988
Clinic/Center - Primary Care in Gastonia, NC

Q: What is Carolina Mercy Medical Clinic PC's NPI number?

The NPI number for Carolina Mercy Medical Clinic PC is 1104154988. It was assigned to this organization in the NPPES registry on December 7, 2009.

Q: What is Carolina Mercy Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since December 07, 2009CLIA 34D0991958 · Waiver

2101 W FRANKLIN BLVD, GASTONIA, NC 28052(704) 867-8855(704) 867-1414 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolina Mercy Medical Clinic Pc NPPES

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

CAROLINA MERCY MEDICAL CLINIC PC (NPI 1104154988) is a healthcare organization registered as a primary care in Gastonia, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Cornelius S Okonkwo, Director, as its authorized official.

NPPES Registry Identity

NPI1104154988

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCAROLINA MERCY MEDICAL CLINIC PC

Location Address2101 W FRANKLIN BLVDGastonia, NC 28052-1338

Mailing Address2101 W Franklin BlvdGastonia, NC 28052-1338 · (704) 867-8855 · Fax (704) 867-1414

Phone(704) 867-8855

Fax(704) 867-1414

Organization SubpartNo

Authorized OfficialCornelius S OkonkwoDirector · (704) 867-8855

Enumeration DateDecember 7, 2009

Last NPPES UpdateFebruary 5, 2010

✔ NPI 1104154988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NC · 200100074

2101 W FRANKLIN BLVD, Gastonia, NC 28052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Waiver 34D0991958

Carolina Mercy Medical Clinic · Gastonia, NC

Active · expires May 16, 2027

CLIA Number34D0991958

Laboratory TypePhysician Office

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorCornelius S. Okonkwo

Laboratory Phone(704) 867-8855

Laboratory LocationCarolina Mercy Medical Clinic2101 W Franklin Blvd, Gastonia, NC 28052

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CORNELIUS S OKONKWO DO

Family Medicine

2101 W FRANKLIN BLVD
GASTONIA, NC 28052

Gaston County (704) 867-8855

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 Carolina Mercy Medical Clinic PC's NPI number?

The NPI number for Carolina Mercy Medical Clinic PC is 1104154988. It was assigned to this organization in the NPPES registry on December 7, 2009.

Where is Carolina Mercy Medical Clinic PC located?

Carolina Mercy Medical Clinic PC is located at 2101 W Franklin Blvd, Gastonia, NC 28052. The listed phone number is (704) 867-8855.

What is Carolina Mercy Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Carolina Mercy Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0991958) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Mercy Medical Clinic PC accept?

Health plans from Blue Cross and Blue Shield of NC list Carolina Mercy Medical Clinic PC 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 Carolina Mercy Medical Clinic PC was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.