MEDICARE: GASTON FAMILY HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1639857477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTON FAMILY HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	200 E 2ND AVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-4358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 SPENCER MOUNTAIN RD
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-3045
Country	:	US
Telephone Number	:	704-836-9608
Fax Number	:	704-824-0918

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	SHARMILA ALEXANDER ANDERSON
Credential	:
Telephone Number	:	704-874-1907

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	07/11/2023

Similar Medicare Providers

1316201411 — MISS ERICA D'ANNA ERVIN MSW, P-LCSW
Practice Location Address:

1316 SPENCER MOUNTAIN RD
GASTONIA, NC
28054-3045

Practice Phone: 704-836-9608
Practice Fax:

1881526812 — DREAMWEAVERS UNLIMITED, INC.
Practice Location Address:

1010 E GARRISON BLVD
GASTONIA, NC
28054-4521

Practice Phone: 704-868-8551
Practice Fax: 704-868-8552

1639058621 — CAROMONT HEALTH RETAIL PHARMACY LLC
Practice Location Address:

2525 COURT DR , SUITE C
GASTONIA, NC
28054-2140

Practice Phone: 704-834-2000
Practice Fax:

1275165607 — MEGAN TAKAYE OKUDA PA-C
Practice Location Address:

924 COX RD
GASTONIA, NC
28054-3456

Practice Phone: 704-495-6334
Practice Fax:

1376232827 — MIKALA MORGAN MCMILLAN PA
Practice Location Address:

640 SUMMIT CROSSING PL STE 203
GASTONIA, NC
28054-2142

Practice Phone: 704-237-4240
Practice Fax:

1922538503 — DR. JACQUELINE KATRINA WATSON MD
Practice Location Address:

924 COX RD
GASTONIA, NC
28054-3456

Practice Phone: 704-495-6334
Practice Fax:

Directions to “GASTON FAMILY HEALTH SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.