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CAROMONT FAMILY MEDICINE
NPI 1326775404
Family Medicine in Charlotte, NC

Active since August 08, 2022CLIA 34D2266613 · Waiver
9310 STRAUSE DR STE A, CHARLOTTE, NC 28214(704) 398-6488(704) 398-6489 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Aug 8, 2022 (2 updates tracked since 2022).

About Caromont Family Medicine NPPES

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

CAROMONT FAMILY MEDICINE (NPI 1326775404) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists David Michael Oconnor, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326775404
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROMONT MEDICAL GROUP INC
Location Address9310 STRAUSE DR STE ACharlotte, NC 28214-5054
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Phone(704) 398-6488
Fax(704) 398-6489
Organization SubpartYes
Authorized OfficialDavid Michael OconnorCfo · (704) 834-2049
Enumeration DateAugust 8, 2022
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1326775404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9310 STRAUSE DR STE A, Charlotte, NC 28214
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Other Names 1

Doing Business AsCaromont Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2266613

Caromont Family Medicine - Moores Chapel · Charlotte, NC
Active · expires Aug 11, 2026
CLIA Number34D2266613
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Jessica Grass
Laboratory Phone(704) 398-6488
Laboratory LocationCaromont Family Medicine - Moores Chapel9310 Strause Drive Suite A, Charlotte, NC 28214
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 3

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

DR. MAYA M. GREEN M.D.
Family Medicine
9310 STRAUSE DR STE A
CHARLOTTE, NC 28214
Mecklenburg County (704) 398-6488
EMILY ELIZABETH NUTTER FNP-BC
Nurse Practitioner (Family)
9310 STRAUSE DR STE A
CHARLOTTE, NC 28214
Mecklenburg County (704) 398-6488
TERICA LARAE REVELS FNP-C
Nurse Practitioner (Family)
9310 STRAUSE DR STE A
CHARLOTTE, NC 28214
Mecklenburg County (704) 398-6488

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 1326775404. It was assigned to this organization in the NPPES registry on August 8, 2022. The provider is doing business as Caromont Family Medicine.

Where is Caromont Medical Group Inc located?

Caromont Medical Group Inc is located at 9310 Strause Dr Ste A, Charlotte, NC 28214. The listed phone number is (704) 398-6488.

What is Caromont Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Caromont Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2266613) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caromont Medical Group Inc was last updated on June 8, 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.