CAROLINAS PLASTIC SURGERY CENTER – NPI #1720377625
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

CAROLINAS PLASTIC SURGERY CENTER is a surgeon located in GASTONIA, NC. NPPES has assigned the NPI number 1720377625 to CAROLINAS PLASTIC SURGERY CENTER on March 31, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINAS PLASTIC SURGERY CENTER” is a dba name, the actual legal business name for this organization is CAROMONT MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 4 years ago on Aug 09, 2022. 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 CAROLINAS PLASTIC SURGERY CENTER below.

NPI Profile for
CAROMONT MEDICAL GROUP, INC.

NPI Number
1720377625
Enumeration Date

(more than 15 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
CAROMONT MEDICAL GROUP, INC.
Doing Business As (dba): CAROLINAS PLASTIC SURGERY CENTER
Primary location
2391 COURT DR
SUITE 120B
GASTONIA, NC 28054-2196
Phone: (704) 874-0095 Fax: (704) 866-8680
Mailing address
PO BOX 744786
ATLANTA, GA 30374-4786
Phone: (704) 834-2450 Fax: (704) 671-5331
Organization Subpart
Yes - CAROLINAS PLASTIC SURGERY CENTER is subpart of another organization.
Authorized Official
DAVID OCONNOR
CFO
Phone: (704) 834-2049
Updated
Certification Date
Aug 09, 2022

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 CAROLINAS PLASTIC SURGERY CENTER

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
OTHERBCBSNC024W3
MEDICAIDNC1720377625
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (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.