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MR. JOHN KERSEY THROCKMORTON DPM
NPI 1114983723
Podiatrist - Primary Podiatric Medicine in Gastonia, NC

Active since April 22, 2006PECOS Enrolled
111 E 3RD AVE, GASTONIA, NC 28052(704) 874-3300(704) 874-0065 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. John Kersey Throckmorton Dpm NPPES

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

MR. JOHN KERSEY THROCKMORTON DPM (NPI 1114983723) is an individual primary podiatric medicine provider in Gastonia, North Carolina, licensed in North Carolina (702) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114983723
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameMR. JOHN KERSEY THROCKMORTONCredential: DPM
Location Address111 E 3RD AVEGastonia, NC 28052-4317
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 865-4614
Phone(704) 874-3300
Fax(704) 874-0065
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1114983723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NC · 702
111 E 3RD AVE, Gastonia, NC 28052
Open in Google Maps ↗

Other Names 1

Professional Name (2)John K Throckmorton

Other Identifiers 1

Other5335346Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Kersey Throckmorton Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Throckmorton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaston Family Health Services, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
111 E 3RD AVE
Gastonia, NC 28052
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1548389125 (704) 874-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

THUY THI HUONG HO PA-C
Physician Assistant
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
BACH TUYET THI LE PA-C
Physician Assistant
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
JACOB SCHEDL DPM
Podiatrist (Foot & Ankle Surgery)
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
VAN J STITT JR. MD
Family Medicine
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 853-5294
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
HALEY JACKSON MANGIAFESTO MS, LMHC, LCMHC
Counselor (Mental Health)
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
DR. COLIN LEE MOFFETT D.P.M.
Podiatrist (Primary Podiatric Medicine)
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
KENYA EVETTE THOMAS FNP-C
Nurse Practitioner (Family)
111 E 3RD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300

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 John Throckmorton's NPI number?

The NPI number for John Throckmorton is 1114983723. It was assigned to this individual provider in the NPPES registry on April 22, 2006. The provider is also known as John K Throckmorton.

Where is John Throckmorton located?

John Throckmorton practices at 111 E 3rd Ave, Gastonia, NC 28052. The listed phone number is (704) 874-3300.

What is John Throckmorton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is John Throckmorton enrolled in Medicare?

Yes. John Throckmorton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Throckmorton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Throckmorton reassigns Medicare benefits to Gaston Family Health Services, Inc. (Gastonia, NC). The 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 John Throckmorton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Throckmorton was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.