GASTONIA PHYSICIAN SERVICES, PLLC – NPI #1104644004
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

GASTONIA PHYSICIAN SERVICES, PLLC is a provider located in BELMONT, NC. NPPES has assigned the NPI number 1104644004 to GASTONIA PHYSICIAN SERVICES, PLLC on September 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

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 GASTONIA PHYSICIAN SERVICES, PLLC below.

NPI Profile for
GASTONIA PHYSICIAN SERVICES, PLLC

NPI Number
1104644004
Enumeration Date

(about 2 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
GASTONIA PHYSICIAN SERVICES, PLLC
Primary location
1000 CAROMONT PKWY
BELMONT, NC 28012-0140
Phone: (704) 834-2000 Fax:
Mailing address
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone: (770) 874-5400 Fax:
Organization Subpart
No
Authorized Official
KIM LARSEN
VP, CREDENTIALING
Phone: (770) 874-5400
Updated
Certification Date
Sep 30, 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.

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.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

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.