NOVANT MEDICAL GROUP, INC.


Address: 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
Phone: 3367187594

NOVANT MEDICAL GROUP, INC. (NPI# 1043713910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043713910
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Other Organization Name NOVANT HEALTH CARE CONNECTIONS TELENEUROLOGY
Practice Address 3333 Silas Creek Pkwy
Winston Salem
NC 27103-3013
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 3367187594
Practice Fax Number 3362774239
Enumeration Date 2018-03-16
Last Update Date 2020-10-08
Authorized Official Name SHALA DAVIS (ENROLLMENT MANAGER)
Authorized Official Telephone 7043167845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Care Connections Teleneurology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033723531 Novant Medical Group, Inc. Surgery 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 2020-09-02
1346868155 Novant Medical Group, Inc. Family Medicine 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 2020-07-08
1861019150 Novant Medical Group, Inc. Family Medicine 2701 Statesville Ave., Charlotte, NC 28206 2020-07-02
1932725124 Novant Medical Group, Inc. Internal Medicine 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 2020-06-23
1922645571 Novant Medical Group, Inc. Surgery 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 2019-12-03
1437706256 Novant Medical Group, Inc. Physical Therapist 11202 Harris Rd, Huntersville, NC 28078-7633 2019-08-26
1336795137 Novant Medical Group, Inc. Surgery 3515 W Market St Ste 310, Greensboro, NC 27403-4438 2019-08-16
1104472125 Novant Medical Group, Inc. Neurological Surgery 3515 W Market St Ste 210, Greensboro, NC 27403-4442 2019-08-15
1649824954 Novant Medical Group, Inc. Family Medicine 6555 Kee Lane, Harrisburg, NC 28075-7463 2019-07-25
1285287185 Novant Medical Group, Inc. Lactation Consultant, Non-RN 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 2019-07-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVANT MEDICAL GROUP, INC. 200 Hawthorne Ln, Charlotte, NC 28204-2515

Office Location

Street Address 3333 SILAS CREEK PKWY
City WINSTON SALEM
State NC
Zip Code 27103-3013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700880440 Joy L Csikos Physician Assistant 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2005-06-10
1861092421 Madison Ann Cline Physician Assistant 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2020-10-31
1285241083 Erin Elphick Physician Assistant 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2020-09-25
1851909626 Alex Joseph Holton Registered Nurse 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2020-07-17
1497370191 Karen Shugart Nurse Practitioner 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2020-06-09
1831721299 Brianna Elaine Marks Nurse Practitioner 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2020-02-04
1952946659 Jennifer Michelle Lucio Nurse Practitioner 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2019-11-18
1336799527 Novant Medical Group, Inc. Obstetrics & Gynecology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2019-09-19
1467001503 Hannah Dibble Palmer Nurse Practitioner 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2019-09-11
1659926012 Jamie Kornelis Hobson Registered Nurse 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2019-08-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811417835 Arvind Muralimohan Gomadam Psychiatry & Neurology 1492 Rymco Dr, Winston Salem, NC 27103 2017-06-21
1760802474 Michael Verenes Psychiatry & Neurology 2025 Frontis Plaza Blvd Ste 120, Winston Salem, NC 27103 2014-04-21
1245539212 David Hosford Psychiatry & Neurology 200 E 1st St Ste 300, Winston Salem, NC 27101-4165 2011-03-16
1447334388 Margaret Louise Craig Psychiatry & Neurology 1915 Cadman Forest Drive, Winston Salem, NC 27127-4684 2006-10-25
1841848249 Novant Medical Group Inc Psychiatry & Neurology 190 Kimel Park Dr Ste 131, Winston Salem, NC 27103-6946 2019-08-28
1134656143 Novant Medical Group Inc Psychiatry & Neurology 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103-6946 2017-05-22
1649655028 Devanshi Dharaiya Psychiatry & Neurology 3333 Silas Creek Pkwy, Winston Salem, NC 27103 2015-07-27
1780063958 Novant Medical Group, Inc. Psychiatry & Neurology 2025 Frontis Plaza Blvd, Suite 120, Winston Salem, NC 27103-5663 2015-05-21
1568857480 Tamra Ishan Jayendra Ranasinghe Psychiatry & Neurology Medical Center Blvd, Winston Salem, NC 27157-9180 2015-03-30
1629481577 Paola Castri Psychiatry & Neurology Medical Center Blvd, Winston Salem, NC 27157-0001 2014-06-09
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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