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CAROMONT PEDIATRIC PARTNERS
NPI 1194904706
Pediatrics in Gastonia, NC

Active since October 31, 2007CLIA 34D1001271 · Waiver
705 SUMMIT CROSSING PL, STE 150, GASTONIA, NC 28054(704) 671-6300(704) 671-6307 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Oct 19, 2021, Mar 14, 2018 (3 updates tracked since 2018).

About Caromont Pediatric Partners NPPES

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

CAROMONT PEDIATRIC PARTNERS (NPI 1194904706) is a healthcare organization registered as a pediatrics in Gastonia, North Carolina and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists David Michael Oconnor, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194904706
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCAROMONT MEDICAL GROUP, INC.
Location Address705 SUMMIT CROSSING PL, STE 150Gastonia, NC 28054-2216
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Phone(704) 671-6300
Fax(704) 671-6307
Organization SubpartYesParent: Caromont Medical Group Inc
Authorized OfficialDavid Michael OconnorCfo · (704) 671-5343
Enumeration DateOctober 31, 2007
Last NPPES UpdateAugust 9, 20223 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1194904706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
705 SUMMIT CROSSING PL, Gastonia, NC 28054
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Other Names 1

Doing Business AsCaromont Pediatric Partners

Other Identifiers 2

Other0139TNC · Bcbs
Medicaid6901041NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 34D1001271

Caromont Pediatric Gastonia · Gastonia, NC
Active · expires Jul 7, 2028
CLIA Number34D1001271
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorMarty Baker
Laboratory Phone(704) 834-2480
Laboratory LocationCaromont Pediatric Gastonia705 Summit Crossing Pl Ste 150, Gastonia, NC 28054
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MS. MARY MORRIS ALEXANDER NURSE PRACTITIONER
Nurse Practitioner (Pediatrics)
705 SUMMIT CROSSING PL
GASTONIA, NC 28054
Gaston County (704) 671-6300
CANDACE CHURCHWELL PETREE PNP-C
Nurse Practitioner (Pediatrics)
705 SUMMIT CROSSING PL
GASTONIA, NC 28054
Gaston County (704) 671-6300
DR. ELLEN SATTERWHITE DAVIS MD
Pediatrics
705 SUMMIT CROSSING PL, SUITE 150
GASTONIA, NC 28054
Gaston County (704) 671-6300
MAURICIO SABOGAL D.O.
Pediatrics
705 SUMMIT CROSSING PL, SUITE 150
GASTONIA, NC 28054
Gaston County (704) 671-6300
MARTY ALLEN BAKER M.D.
Pediatrics
705 SUMMIT CROSSING PL, SUITE 150
GASTONIA, NC 28054
Gaston County (704) 671-5300
MILDRED JAMES DRIGGERS PNP/NNP-C
Nurse Practitioner (Pediatrics)
705 SUMMIT CROSSING PL, SUITE 150
GASTONIA, NC 28054
Gaston County (704) 671-6300

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 Caromont Medical Group, Inc.'s NPI number?

The NPI number for Caromont Medical Group, Inc. is 1194904706. It was assigned to this organization in the NPPES registry on October 31, 2007. The provider is doing business as Caromont Pediatric Partners.

Where is Caromont Medical Group, Inc. located?

Caromont Medical Group, Inc. is located at 705 Summit Crossing Pl Ste 150, Gastonia, NC 28054. The listed phone number is (704) 671-6300.

What is Caromont Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Caromont Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1001271) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caromont Medical Group, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC list Caromont Medical Group, Inc. 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 Caromont Medical Group, Inc. was last updated on August 9, 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.