GASTON PRIMARY CARE PLLC NPI 1366409484

NPI Information

  • NPI: 1366409484
  • Provider Name: GASTON PRIMARY CARE PLLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 760 N NEW HOPE RD
    SUITE B
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 864-5969

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NPI Details

GASTON PRIMARY CARE PLLC 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. GASTON PRIMARY CARE PLLC NPI is 1366409484. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

760 N NEW HOPE RD
SUITE B
GASTONIA, NC
ZIP 28054-037
Phone: (704) 864-5969
Fax: (704) 864-5584

The provider's authorized official is Azemobo Charles Akhimien .
The authorized official title is President and has the following contact phone number (704) 864-5969.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 7/26/2011.

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
1207R00000XInternal Medicine23016SOUTH CAROLINANo
2207R00000XInternal Medicine51287GEORGIANo
3207R00000XInternal Medicine200000171NORTH CAROLINAYes

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
1H11228MEDICARE UPIN
22348418MEDICARE PINNORTH CAROLINA
3891255WMEDICAIDNORTH 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

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