GASTON FAMILY HEALTH SERVICES, INC
NPI 1912547415
Clinic/Center - Federally Qualified Health Center (FQHC) in Statesville, NC

Active since January 13, 2020
766 HARTNESS RD, STATESVILLE, NC 28677(704) 380-3620(704) 380-3623 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2025, Jan 13, 2020 (2 updates tracked since 2020).

About Gaston Family Health Services, Inc NPPES

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

GASTON FAMILY HEALTH SERVICES, INC (NPI 1912547415), doing business as Iredell Psychiatry, is a healthcare organization registered as a federally qualified health center (fqhc) in Statesville, North Carolina and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Statesville and lists Sharmila Alexander Anderson, Collaboration Manager, as its authorized official.

NPPES Registry Identity

NPI1912547415
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGASTON FAMILY HEALTH SERVICES, INC
Location Address766 HARTNESS RDStatesville, NC 28677-3425
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 864-7608
Fax(704) 380-3623
Organization SubpartYes
Authorized OfficialSharmila Alexander AndersonCollaboration Manager · (704) 874-1907
Enumeration DateJanuary 13, 2020
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1912547415 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
766 HARTNESS RD, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Psychiatry

Secondary Practice Location 1

Location 1515 Brookdale DrStatesville, NC 28677-4107 · Phone (704) 883-8660

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaston Family Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20200329000510Part A · Federally Qualified Health Center (FQHC)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
766 HARTNESS RD
STATESVILLE, NC 28677
Internal Medicine (Cardiovascular Disease)
766 HARTNESS RD
STATESVILLE, NC 28677
General Practice
766 HARTNESS RD
STATESVILLE, NC 28677
Durable Medical Equipment & Medical Supplies
766 HARTNESS RD
STATESVILLE, NC 28677

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 1912547415. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as Iredell Psychiatry.

Where is Gaston Family Health Services, Inc located?

Gaston Family Health Services, Inc is located at 766 Hartness Rd, Statesville, NC 28677. The listed phone number is (704) 380-3620.

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.

Is Gaston Family Health Services, Inc enrolled in Medicare?

Yes. Gaston Family Health Services, Inc is registered in the Medicare PECOS enrollment system.

When is Gaston Family Health Services, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Carolina, Federally Qualified Health Center (FQHC)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Gaston Family Health Services, Inc accept?

Health plans from Cigna Healthcare 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 May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.