# CAROMONT MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROMONT MEDICAL GROUP INC
- **Other names:** CaroMont Podiatry, CaroMont Foot and Ankle
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457913006
- **Legal business name:** CAROMONT MEDICAL GROUP INC
- **Authorized official:** DAVID MICHAEL OCONNOR (CFO)
- **Authorized official phone:** (704) 671-5343

## Contact information

- **Practice address:** 2391 COURT DR STE 100, GASTONIA, NC 28054-2197
- **Practice address phone:** (980) 834-7300
- **Practice address fax:** (980) 834-9874
- **Mailing address:** PO BOX 744786, ATLANTA, GA 30374-4786
- **Mailing address phone:** (704) 834-2450
- **Mailing address fax:** (704) 671-5331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2019
- **Last updated:** 08/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02G2B | BCBS OF NC | NC |
| 05 | — | 1457913006 | — | NC |