PAVANA TREATMENT GROUP, P.C. – NPI #1043849896
Anesthesiology

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

PAVANA TREATMENT GROUP, P.C. is an anesthesiologist located in GASTONIA, NC. NPPES has assigned the NPI number 1043849896 to PAVANA TREATMENT GROUP, P.C. on April 03, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LA0401X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Addiction Medicine

The NPI profile was last updated on Aug 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAVANA TREATMENT GROUP, P.C. below.

NPI Profile for
PAVANA TREATMENT GROUP, P.C.

NPI Number
1043849896
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAVANA TREATMENT GROUP, P.C.
Primary location
1560 UNION RD
GASTONIA, NC 28054-2209
Phone: (704) 490-4993 Fax:
2 Other location(s):
1909 Bragg Blvd Ste 94
Fayetteville, NC 28303-4386
Phone: (984) 246-5300
1309 E Sunset Dr
Monroe, NC 28112-4324
Phone: (704) 490-4993
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA BLOCKER
CFO
Phone: (864) 800-3223
Updated
Certification Date
Aug 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAVANA TREATMENT GROUP, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC1043849896
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.