KINTEGRA PEDIATRIC MEDICINE - STATESVILLE
NPI 1710237367
Clinic/Center - Federally Qualified Health Center (FQHC) in Statesville, NC

Q: What is Gaston Family Health Services, Inc.'s NPI number?

The NPI number for Gaston Family Health Services, Inc. is 1710237367. It was assigned to this organization in the NPPES registry on September 11, 2012. The provider is doing business as Kintegra Pediatric Medicine - Statesville.

Q: 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.

Active since September 11, 2012CLIA 34D0701976 · Waiver

518 BROOKDALE DR, STATESVILLE, NC 28677(704) 872-9595(704) 872-5851 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2021, Jan 15, 2020 (2 updates tracked since 2020).

On this page

About Kintegra Pediatric Medicine - Statesville NPPES

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

KINTEGRA PEDIATRIC MEDICINE - STATESVILLE (NPI 1710237367) is a healthcare organization registered as a federally qualified health center (fqhc) in Statesville, North Carolina and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Sharmila Anderson, Business Service Administrator, as its authorized official.

NPPES Registry Identity

NPI1710237367

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGASTON FAMILY HEALTH SERVICES, INC.

Location Address518 BROOKDALE DRStatesville, NC 28677-4108

Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 867-2134

Phone(704) 872-9595

Fax(704) 872-5851

Organization SubpartYesParent: Gaston Family Health Services, Inc

Authorized OfficialSharmila AndersonBusiness Service Administrator · (704) 874-1907

Enumeration DateSeptember 11, 2012

Last NPPES UpdateMay 7, 20212 updates tracked since enumeration

NPPES CertifiedMay 7, 2021

✔ NPI 1710237367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

518 BROOKDALE DR, Statesville, NC 28677

Open in Google Maps ↗

Other Names 1

Doing Business AsKintegra Pediatric Medicine - Statesville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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 34D0701976

Kintegra Pediatric Medicine - Statesville · Statesville, NC

Active · expires Jul 30, 2027

CLIA Number34D0701976

Laboratory TypePhysician Office

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorKathleen Harknett

Laboratory Phone(704) 874-9595

Laboratory LocationKintegra Pediatric Medicine - Statesville518 Brookdale Drive, Statesville, NC 28677

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 9

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

GASTON FAMILY HEALTH SERVICES, INC

Clinic/Center (Federally Qualified Health Center (FQHC))