GASTONIA MEDICAL SPECIALTY CLINIC PA NPI 1023048279

NPI Information

NPI: 1023048279
Provider Name: GASTONIA MEDICAL SPECIALTY CLINIC PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
CLIA Number: 34D0243045
Address: 1021 X RAY DR
GASTONIA, NC
ZIP 28054
Phone: (704) 867-2341

Map and Directions

Get Directions

NPI Details

GASTONIA MEDICAL SPECIALTY CLINIC PA is an internal medicine in Gastonia, NC. The provider is 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. GASTONIA MEDICAL SPECIALTY CLINIC PA NPI is 1023048279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1021 X RAY DR
GASTONIA, NC
ZIP 28054-489
Phone: (704) 867-2341
Fax: (704) 867-9019

The provider's authorized official is Mikell J Jarratt .
The authorized official title is Corporate Officer - President and has the following contact phone number (704) 867-2341.

The CLIA number assigned to this NPI record is 34D0243045 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 10/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01627	OTHER	NORTH CAROLINA	BCBSNC GROUP PROVIDER #
2	CC5252	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
3	5920537	MEDICAID	NORTH CAROLINA
4	0343	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
5	NPA701	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI