GASTON MEDICAL ASSOCIATES, PA
NPI 1366433773
Internal Medicine in Gastonia, NC

Active since November 03, 2005CLIA 34D0974742 · Waiver
2664 COURT DRIVE, SUITE A, GASTONIA, NC 28054(704) 861-9030(704) 833-1234 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaston Medical Associates, Pa NPPES

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

GASTON MEDICAL ASSOCIATES, PA (NPI 1366433773) is a healthcare organization registered as an internal medicine in Gastonia, North Carolina and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Olufolarin Akanfe Ajao, Co-president, as its authorized official.

NPPES Registry Identity

NPI1366433773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGASTON MEDICAL ASSOCIATES, PA
Location Address2664 COURT DRIVE, SUITE AGastonia, NC 28054-1449
Mailing Address2664 Court Drive, Suite AGastonia, NC 28054-1449 · (704) 861-9030 · Fax (704) 833-1234
Fax(704) 833-1234
Organization SubpartNo
Authorized OfficialOlufolarin Akanfe AjaoCo-president · (704) 861-9030
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 31, 2013
NPI 1366433773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9501167
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 9600912 (NC)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-01441 (NC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 201734 (NC)
2664 COURT DRIVE, Gastonia, NC 28054

Other Identifiers 2

Medicare ID-Type Unspecified2344504NC
Medicaid89011FHNC

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

Accepted 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 34D0974742

Gaston Medical Associates, PA · Gastonia, NC
Active · expires Nov 18, 2027
CLIA Number34D0974742
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorOlufolarin Ajao
Laboratory Phone(704) 861-9030
Laboratory LocationGaston Medical Associates, PA2664 Court Drive, Suite A, Gastonia, NC 28054
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.

Internal Medicine
2664 COURT DRIVE, SUITE A
GASTONIA, NC 28054
Internal Medicine (Gastroenterology)
2664 COURT DRIVE, SUITE A
GASTONIA, NC 28054
Nurse Practitioner
2664 COURT DRIVE, SUITE A
GASTONIA, NC 28054

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 Gaston Medical Associates, PA's NPI number?

The NPI number for Gaston Medical Associates, PA is 1366433773. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Gaston Medical Associates, PA located?

Gaston Medical Associates, PA is located at 2664 Court Drive Suite A, Gastonia, NC 28054. The listed phone number is (704) 861-9030.

What is Gaston Medical Associates, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Gaston Medical Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0974742) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gaston Medical Associates, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Gaston Medical Associates, PA 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 Gaston Medical Associates, PA was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.