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KINTEGRA ADULT & PEDIATRIC MEDICINE - XRAY DR
NPI 1477079283
Clinic/Center - Federally Qualified Health Center (FQHC) in Gastonia, NC

Active since August 15, 2017CLIA 34D2134539 · Waiver
2721 X RAY DR, GASTONIA, NC 28054(704) 874-2255(704) 852-4092 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2020, Sep 11, 2018, Jul 19, 2018 and 2 more (5 updates tracked since 2017).

About Kintegra Adult & Pediatric Medicine - Xray Dr NPPES

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

KINTEGRA ADULT & PEDIATRIC MEDICINE - XRAY DR (NPI 1477079283) is a healthcare organization registered as a federally qualified health center (fqhc) in Gastonia, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Sharmila Alexander Anderson, Business Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1477079283
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGASTON FAMILY HEALTH SERVICES INC
Location Address2721 X RAY DRGastonia, NC 28054-7491
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 864-7608
Phone(704) 874-2255
Fax(704) 852-4092
Organization SubpartYes
Authorized OfficialSharmila Alexander AndersonBusiness Services Administrator · (704) 874-1907
Enumeration DateAugust 15, 2017
Last NPPES UpdateJanuary 15, 20205 updates tracked since enumeration
✔ NPI 1477079283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 13352 (NC)
2721 X RAY DR, Gastonia, NC 28054
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Other Names 1

Doing Business AsKintegra Adult & Pediatric Medicine - Xray Dr

Other Identifiers 2

Other2171517Pk
Medicaid1477079283NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 34D2134539

Kintegra Adult & Pediatric Medicine - Xray Dr · Gastonia, NC
Active · expires Aug 3, 2027
CLIA Number34D2134539
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorShirley D. Ocloo
Laboratory Phone(704) 874-1959
Laboratory LocationKintegra Adult & Pediatric Medicine - Xray Dr2721 X-Ray Drive, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

EUNICE ESHUN
Pharmacist
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
DR. STEWART TODD PETERS D.C.
Chiropractor
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 853-5079
MRS. EUREKA A RIGBY PA
Physician Assistant
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
DR. SHANNON REED BLUMHARDT D.C.
Chiropractor
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
JACKSON DAVIS WRIGHT FNP-C
Nurse Practitioner (Family)
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
REVONDA LASHAWN JESSUP D.P.M.
Podiatrist (Foot & Ankle Surgery)
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
TAMMY RENEA LYNN DNP
Nurse Practitioner (Family)
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255
VAIDEHI MAHESH TRIVEDI M.D.
Pediatrics
2721 X RAY DR
GASTONIA, NC 28054
Gaston County (704) 874-2255

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 Family Health Services Inc's NPI number?

The NPI number for Gaston Family Health Services Inc is 1477079283. It was assigned to this organization in the NPPES registry on August 15, 2017. The provider is doing business as Kintegra Adult & Pediatric Medicine - Xray Dr.

Where is Gaston Family Health Services Inc located?

Gaston Family Health Services Inc is located at 2721 X Ray Dr, Gastonia, NC 28054. The listed phone number is (704) 874-2255.

What is Gaston Family Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Gaston Family Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2134539) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gaston Family Health Services Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Gaston Family Health Services 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 Gaston Family Health Services Inc was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.