Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gaston Primary Care PLLC

Organization Internal Medicine Physician · NPI 1366409484

Gaston Primary Care PLLC is an Internal Medicine Physician in Gastonia, North Carolina. Licensed in Georgia, North Carolina and South Carolina. Registered with an NPI since 2006.

Licensed in
GA, NC, SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

760 N New Hope Rd Ste B
Gastonia, NC 28054-4037
Phone: (704) 864-5969
Fax: (704) 864-5584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 200000171 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 23016 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 51287 (GA)

Record details

NPI number1366409484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azemobo Akhimien — President · (704) 864-5969
NPI enumeratedMay 1, 2006
Last updated in NPPESJuly 26, 2011
Mailing addressPo Box 550802, Gastonia, NC 28055-0802

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