CATAWBA VALLEY FAMILY MEDICINE - NORTHEAST HICKORY
NPI 1407133069
Clinic/Center - Federally Qualified Health Center (FQHC) in Hickory, NC
NPI Status: Active since November 10, 2011
Contact Information
2365 SPRINGS RD NE
HICKORY, NC
ZIP 28601
Phone: (828) 256-2112
Fax: (828) 256-2393
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 34D0855977
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-14-2026
About CATAWBA VALLEY FAMILY MEDICINE - NORTHEAST HICKORY
This page provides the complete NPI Profile along with additional information for Catawba Valley Family Medicine - Northeast Hickory, a primary care provider established in Hickory, North Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1407133069 assigned on November 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Catawba Valley Family Medicine - Northeast Hickory operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Catawba Valley Family Medicine - Northeast Hickory. The authorized official of this NPI record is Mr. Robert Ervin Spencer (Ceo)
- NPI
- 1407133069
- Provider Legal Name
- GASTON FAMILY HEALTH SERVICES, INC.
- Other Organization Name
- CATAWBA VALLEY FAMILY MEDICINE - NORTHEAST HICKORY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2365 SPRINGS RD NE HICKORY, NC 28601
- Location Phone
- (828) 256-2112
- Location Fax
- (828) 256-2393
- Mailing Address
- 200 E 2ND AVE GASTONIA, NC 28052
- Mailing Phone
- (704) 874-1904
- Mailing Fax
- (828) 256-2393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-10-2011
- Last Update Date
- 05-07-2021
- Code Navigator
A primary care provider (PCP) like Catawba Valley Family Medicine - Northeast Hickory sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
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
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
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 |
|---|---|---|---|
| 1407133069 | MEDICAID (05) | NC |
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
- 34D0855977
- Facility Type
- Physician Office
- Certificate Effective Date
- May 15, 2024
- Certificate Expiration Date
- May 14, 2026
- Laboratory Director
- JACQUES MOUA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Catawba Valley Family Medicine - Northeast Hickory 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.
Reviews for CATAWBA VALLEY FAMILY MEDICINE - NORTHEAST HICKORY
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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 | 4 | 0 | 7 | 1 | 3 | 3 | 0 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 2 | 3 | 6 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 2 + 3 + 6 + 0 + 1 + 2 + 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 1407133069 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 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851637003 | CHRISTOPHER JOHN HARJES ACNP Individual | Nurse Practitioner (Acute Care) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 325-0950 |
| 1265840029 | MATTHEW WARD PA-C Individual | Physician Assistant (Medical) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 325-0950 |
| 1801289368 | MIRENDA LATISA WILLIAMS AGNP-C Individual | Nurse Practitioner (Adult Health) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 325-0950 |
| 1043689664 | MICHELLE ROBINSON NP-C Individual | Nurse Practitioner | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 325-0950 |
| 1326482191 | MRS. AUDREY DELORIS RICE ANP-C Individual | Nurse Practitioner | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 325-0950 |
| 1629006994 | LUREDEAN GALE HAMILTON-BRANDON M.D. Individual | Family Medicine | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 256-2112 |
| 1023670817 | JENNA PAIGE JACOB MSW, LCSWA Individual | Social Worker (Clinical) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 256-2112 |
| 1770828881 | JENNIFER RAMOS FNP-C Individual | Nurse Practitioner (Family) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 256-2112 |
| 1518461151 | DR. REBECCA HILARY-LAURINE HATHARASINGHE DO Individual | Family Medicine | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 256-2112 |
| 1780797803 | BRIAN G KAUTH MD Individual | Family Medicine | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 256-2112 |
| 1467166983 | MR. MICHAEL TODD FAULKNER JR. FNP Individual | Nurse Practitioner (Family) | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 732-5550 |
| 1497494553 | KRISTIN GOTTRY NP Individual | Family Medicine | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 732-5550 |
| 1992931737 | DR. JACQUES TXUJ CI MOUA M.D. Individual | Family Medicine | 2365 SPRINGS RD NE HICKORY, NC 28601 (828) 732-5550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407133069, enumerated in the NPI registry as an "organization" on November 10, 2011
The provider is located at 2365 Springs Rd Ne Hickory, Nc 28601 and the phone number is (828) 256-2112
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health, CareSource, Cigna Healthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0855977 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 November 10, 2011. 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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