OrganizationActive
Caromont Medical Group Inc
NPI 1093005159 · Internal Medicine Physician · Gastonia, NC
Provider details
- NPI number
- 1093005159
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Kelley, President/Ceo(704) 671-5343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1040 X Ray Dr
Suite B
Gastonia, NC 28054-5438
Phone: (704) 884-0064
Fax: (704) 884-0074
Street-level locationGet directions
Mailing address
1040 X Ray Dr Ste B
Gastonia, NC 28054-7488
Other names (DBA / former)
- Doing business as
- Adult Primary and Preventive Medicine
- Doing business as
- Adult Primary and Preventive Medicine
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.