OrganizationActive
Marietta Medical Clinic PA
NPI 1215165659 · Clinic/Center · Gastonia, NC
Marietta Medical Clinic PA is a Clinic/Center organization in Gastonia, NC (NPI 1215165659).
Provider details
- NPI number
- 1215165659
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Agunobi, Physician(704) 866-8030
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
401 S Marietta St
Gastonia, NC 28052-4331
Phone: (704) 866-8030
Fax: (704) 866-8717
Street-level locationGet directions
Mailing address
401 S Marietta St
Gastonia, NC 28052-4331
Registry dates
- Enumerated
- 2009-06-24
- Last updated
- 2009-06-24
Frequently asked questions
- What is Marietta Medical Clinic PA's NPI number?
- Marietta Medical Clinic PA's National Provider Identifier (NPI) is 1215165659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marietta Medical Clinic PA?
- Marietta Medical Clinic PA is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Marietta Medical Clinic PA located?
- Marietta Medical Clinic PA's practice location on file with NPPES is 401 S Marietta St, Gastonia, NC 28052-4331.
- What is Marietta Medical Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Marietta Medical Clinic PA is (704) 866-8030.
- Who is the authorized official for Marietta Medical Clinic PA?
- The authorized official listed on Marietta Medical Clinic PA's NPPES record is Charles Agunobi, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marietta Medical Clinic PA's NPI active?
- Yes — Marietta Medical Clinic PA's NPI (1215165659) is active in the NPPES registry as of the last update on 2009-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.