GASTONIA PHYSICIAN SERVICES, PLLC
NPI 1104644004
Emergency Medicine in Belmont, NC
About Gastonia Physician Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GASTONIA PHYSICIAN SERVICES, PLLC (NPI 1104644004) is a healthcare organization registered as an emergency medicine in Belmont, North Carolina and active in the NPI registry since September 2024. The organization lists Kim H Larsen, Vp, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Physician Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
200Medicare enrollment records show 200 clinicians reassign Medicare billing to Gastonia Physician Services, PLLC, which bills Medicare for the services they deliver. Of these, 28 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 200Gastonia, NC 28054
Gastonia, NC 28054
Gastonia, NC 28054
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gastonia Physician Services, PLLC's NPI number?
The NPI number for Gastonia Physician Services, PLLC is 1104644004. It was assigned to this organization in the NPPES registry on September 30, 2024.
Where is Gastonia Physician Services, PLLC located?
Gastonia Physician Services, PLLC is located at 1000 Caromont Pkwy, Belmont, NC 28012. The listed phone number is (704) 834-2000.
What is Gastonia Physician Services, PLLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gastonia Physician Services, PLLC enrolled in Medicare?
Yes. Gastonia Physician Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gastonia Physician Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 200 clinicians in 6 Medicare specialties reassign their Medicare billing to Gastonia Physician Services, PLLC. 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 Emergency Medicine (164), Nurse Practitioner (32) and Critical Care (Intensivists) (1). Of these, 28 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gastonia Physician Services, PLLC accept?
Health plans from Cigna Healthcare list Gastonia Physician Services, PLLC 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 Gastonia Physician Services, PLLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 Physician Services, Pllc · NPI 1104644004
Emergency Medicine organization in Belmont, North Carolina. Organization record, active in the CMS NPPES registry since September 30, 2024.
## Identity
- **NPI:** 1104644004 (Entity type: Organization)
- **Enumerated:** September 30, 2024
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, VP, CREDENTIALING
## Practice location
- **Address:** 1000 CAROMONT PKWY, Belmont, NC 28012-0140
- **Phone:** (704) 834-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 200 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (164), Nurse Practitioner (32), Critical Care (Intensivists) (1); 28 practice within 10 miles; [full list](https://npiprofile.com/npi/1104644004/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104644004) · Data from the CMS NPPES public registry.