NOVA-IC, INC. (NPI# 1053634824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053634824 |
| Entity Type | Organization |
| Organization Name | NOVA-IC, INC. |
| Practice Address |
2307 Norwood Ave Ste A Goldsboro NC 27534-1601 |
| Mailing Address |
Po Box 11077 Goldsboro NC 27532-1077 |
| Practice Telephone | 9197358887 |
| Practice Fax Number | 9197358871 |
| Mailing Telephone | 9197354736 |
| Mailing Fax Number | 9197356825 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | SUZIE FLOUTON (BILLING MANAGER) |
| Authorized Official Telephone | 9197354736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006439 | 05 | |
| NC | 340609R | 05 | |
| NC | 3406289 | 05 | |
| NC | 3406312 | 05 | |
| NC | 8302772 | 05 | |
| NC | 3406058 | 05 | |
| NC | 340610M | 05 | |
| NC | 3406164 | 05 | |
| NC | 8302565 | 05 | |
| NC | 3406174 | 05 | |
| NC | 340608V | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684015 | Nova-ic, Inc. | Community/Behavioral Health | 1216 North Dr, Goldsboro, NC 27534-1858 | 2010-12-08 |
| 1124334339 | Nova-ic, Inc. | Case Management | 2307 Norwood Ave Ste G, Goldsboro, NC 27534-1601 | 2010-08-25 |
| 1831418185 | Nova-ic, Inc. | Psychologist | 2307 Norwood Ave Ste D, Goldsboro, NC 27534-1601 | 2010-05-26 |
| 1841519196 | Nova-ic, Inc. | Community/Behavioral Health | 2002 C Shackleford Road, Kinston, NC 28504-7476 | 2010-05-26 |
| 1477882249 | Nova-ic, Inc. | Psychoanalyst | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2009-12-08 |
| 1811136617 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 195 Airport Road, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1043459852 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 1509 Holly Street, Goldsboro, NC 27534-3033 | 2009-02-18 |
| 1972742781 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 3801 Us 117 North, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1699914598 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 2510 Norwood Ave, Goldsboro, NC 27534-1671 | 2009-02-17 |
| Street Address |
2307 NORWOOD AVE STE A |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477882249 | Nova-ic, Inc. | Psychoanalyst | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2009-12-08 |
| 1689163453 | Rachel Lynn Kininger | Psychologist | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2018-05-07 |
| 1700330651 | Ryan T Ford | Counselor | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2016-08-09 |
| 1366827321 | Kayzandra Leigh Exum Bond | Counselor | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144402835 | Harmony Clinic, Pllc | Psychiatry & Neurology | 1308 Wayne Memorial Dr Ste C, Goldsboro, NC 27534-2268 | 2007-12-04 |
| 1518163609 | Bahram Panbehi | Psychiatry & Neurology | 208 Cox Blvd Ste 100, Goldsboro, NC 27534-9414 | 2007-06-25 |
| 1558564005 | Punitha Ida Rathnam | Psychiatry & Neurology | 550 W New Hope Rd, Apt A6, Goldsboro, NC 27534-7560 | 2007-06-11 |
| 1174613863 | Asha K Kohli | Psychiatry & Neurology | 2300 Us Hwy 70 West, Goldsboro, NC 27530 | 2006-10-13 |
| 1972616944 | Anna Llewellyn Jamieson | Psychiatry & Neurology | 400 N William St, Goldsboro, NC 27530-2802 | 2006-08-16 |
| 1841204187 | Hoda Eskander | Psychiatry & Neurology | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2006-07-29 |
| 1154335511 | Ralph Roger Berg Jr. | Psychiatry & Neurology | 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 | 2006-07-28 |
| 1366468399 | Bahman Malekpour | Psychiatry & Neurology | 2805 Mclamb Pl, Goldsboro, NC 27534-1647 | 2006-07-14 |
| 1770939993 | Keri D. Metcalf | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-06 |
| 1649680166 | Jonathan Gregory Napier | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-05-06 |
| Find all providers in GOLDSBORO | ||||
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| 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.