GASTONIA MEDICAL SPECIALTY CLINIC PA
NPI 1023048279
Internal Medicine in Gastonia, NC
NPI Status: Active since July 04, 2006
Contact Information
1021 X RAY DR
GASTONIA, NC
ZIP 28054
Phone: (704) 867-2341
Fax: (704) 867-9019
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 34D0243045
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-02-2027
About GASTONIA MEDICAL SPECIALTY CLINIC PA
This page provides the complete NPI Profile along with additional information for Gastonia Medical Specialty Clinic Pa, an internist established in Gastonia, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1023048279 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Gastonia Medical Specialty Clinic Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mikell J Jarratt Md (Corporate Officer - President)
- NPI
- 1023048279
- Provider Name
- GASTONIA MEDICAL SPECIALTY CLINIC PA
- Entity Type
- Organization
- Location Address
- 1021 X RAY DR GASTONIA, NC 28054
- Location Phone
- (704) 867-2341
- Location Fax
- (704) 867-9019
- Mailing Address
- 1021 X RAY DR GASTONIA, NC 28054
- Mailing Phone
- (704) 867-2341
- Mailing Fax
- (704) 867-9019
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-04-2006
- Last Update Date
- 10-08-2014
- Code Navigator
An internist like Gastonia Medical Specialty Clinic Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01627 | OTHER (01) | NC | BCBSNC GROUP PROVIDER # |
| CC5252 | OTHER (01) | NC | RAILROAD MEDICARE |
| 5920537 | MEDICAID (05) | NC | |
| 0343 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | |
| NPA701 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0243045
- Facility Type
- Physician Office
- Certificate Effective Date
- March 03, 2025
- Certificate Expiration Date
- March 02, 2027
- Laboratory Director
- DR. MIKELL J. JARRATT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gastonia Medical Specialty Clinic Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 4 | 8 | 2 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 4 | 16 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 4 + 1 + 6 + 2 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1023048279 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265429864 | JANET WINSLOW KELCHNER FNP-C Individual | Nurse Practitioner (Family) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1164452512 | HENRY C THOMASON JR. M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1740213263 | ANUP BANERJEE M.D. Individual | Internal Medicine (Pulmonary Disease) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1114221181 | GASTONIA MEDICAL SPECIALTY CLINIC PA Organization | Durable Medical Equipment & Medical Supplies | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1538504451 | MS. APRIL MARIE MAHRLE-HENSON NP Individual | Nurse Practitioner | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1639596851 | LASHONDA BARNETTE NP Individual | Nurse Practitioner (Adult Health) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1114290277 | COURTNEY MCCARTY DAY ANP Individual | Nurse Practitioner (Adult Health) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1992760581 | DR. AZEMOBO CHARLES AKHIMIEN MD Individual | Internal Medicine | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1205232337 | EMILY BARKER STALLARD NP-C Individual | Nurse Practitioner (Acute Care) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1841786316 | REBECCA SHAVERS NP-C Individual | Nurse Practitioner (Family) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
| 1306644315 | GASTON FAMILY HEALTH SERVICES, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1021 X RAY DR GASTONIA, NC 28054 (704) 874-1900 |
| 1538624317 | MRS. MEGAN WRAY SELF FNP-C Individual | Nurse Practitioner (Family) | 1021 X RAY DR GASTONIA, NC 28054 (704) 867-2341 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023048279, enumerated in the NPI registry as an "organization" on July 04, 2006
The provider is located at 1021 X Ray Dr Gastonia, Nc 28054 and the phone number is (704) 867-2341
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0243045 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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