OrganizationActive
Marietta Medical Clinic, PA
NPI 1912142167 · Specialist · Gastonia, NC
Marietta Medical Clinic, PA is a Specialist organization in Gastonia, NC (NPI 1912142167).
Provider details
- NPI number
- 1912142167
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ifeanyi Okafor, President(704) 866-8030
- License
- 200200150 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 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
Street-level locationGet directions
Mailing address
Po Box 550457
Gastonia, NC 28055-0457
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2009-03-12
Frequently asked questions
- What is Marietta Medical Clinic, PA's NPI number?
- Marietta Medical Clinic, PA's National Provider Identifier (NPI) is 1912142167, 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 Specialist (Other Service Providers).
- 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 Ifeanyi Okafor, President. 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 (1912142167) is active in the NPPES registry as of the last update on 2009-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.