GASTON PRIMARY CARE PLLC – NPI #1366409484
Internal Medicine

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.

GASTON PRIMARY CARE PLLC is a provider located in GASTONIA, NC. NPPES has assigned the NPI number 1366409484 to GASTON PRIMARY CARE PLLC on May 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 15 years ago on Jul 26, 2011. 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 GASTON PRIMARY CARE PLLC below.

NPI Profile for
GASTON PRIMARY CARE PLLC

NPI Number
1366409484
Enumeration Date

(more than 20 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
GASTON PRIMARY CARE PLLC
Primary location
760 N NEW HOPE RD
SUITE B
GASTONIA, NC 28054-4037
Phone: (704) 864-5969 Fax: (704) 864-5584
Mailing address
PO BOX 550802
GASTONIA, NC 28055-0802
Phone: (704) 864-5969 Fax: (704) 864-5584
Organization Subpart
No
Authorized Official
AZEMOBO AKHIMIEN
PRESIDENT
Phone: (704) 864-5969
Updated
Identifiers

Identifiers for GASTON PRIMARY CARE PLLC

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
MEDICAIDNC891255W
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
207R00000X
- Internal Medicine (Primary)
SC 23016

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.