NOVANT MEDICAL GROUP INC (NPI# 1104152024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104152024 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP INC |
Other Organization Name | NOVANT HEALTH GRANITE QUARRY INTERNAL MEDICINE & PEDIATRICS |
Practice Address |
111 S Salisbury Gq Ave Salisbury NC 28146-8150 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7042791679 |
Practice Fax Number | 7042791677 |
Mailing Telephone | 7042791679 |
Mailing Fax Number | 7042791677 |
Enumeration Date | 2009-10-28 |
Last Update Date | 2016-07-28 |
Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
Authorized Official Telephone | 7043849094 |
Is Organization Subpart | Y |
Parent Organization Name | NOVANT MEDICAL GROUP, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians | |
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5913612 | 05 |
Other Name | Type Code |
---|---|
Novant Health Granite Quarry Internal Medicine & Pediatrics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
Street Address |
111 S SALISBURY GQ AVE |
City | SALISBURY |
State | NC |
Zip Code | 28146-8150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811473028 | Heather Marie Amaral | Nurse Practitioner | 111 S Salisbury Gq Ave, Salisbury, NC 28146 | 2018-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071551 | Rita Faye George | Technician | 306 Brookfield Circle, Salisbury, NC 28146 | 2019-09-09 |
1417166224 | Tina Wyatt | Counselor | 1121 Old Concord Rd Ste 23, Salisbury, NC 28146 | 2007-05-21 |
1730230889 | Alan Ray Lyerly | Dentist | 5980 Us Hwy# 52, Salisbury, NC 28146 | 2007-01-16 |
1740331800 | Matthew Scott Lyerly | Dentist | 5980 Us Hwy. # 52, Salisbury, NC 28146 | 2007-01-16 |
1376624403 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 223 Faith Road, Space I, Salisbury, NC 28146 | 2006-10-17 |
1417182114 | Norman Deon Hough | Registered Nurse | 6770 Faith Rd, Salisbury, NC 28146-0379 | 2009-05-25 |
1770911893 | Travis Alligood | Massage Therapist | 2125 Old Concord Rd, Salisbury, NC 28146-1328 | 2013-10-29 |
1013055458 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-02-01 |
1669698197 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-04-17 |
1164506879 | Heritage Center, LLC | Assisted Living Facility | 2809 Old Concord Rd, Salisbury, NC 28146-1339 | 2006-10-25 |
Find all providers in zip 28146 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
1841839453 | Cabarrus Rowan Community Health Center, Inc | Family Medicine | 226 N Long St, Salisbury, NC 28144-5049 | 2019-12-30 |
1952812794 | Atlantic Recovery, LLC | Family Medicine | 547 Riverside Dr Unit S, Salisbury, MD 21801-5369 | 2017-10-19 |
1477063386 | Corelife of Delmarva LLC | Family Medicine | 200 E Vine St Ste B, Salisbury, MD 21804-5531 | 2017-10-05 |
1336481951 | Charlotte A. Watts | Family Medicine | 231 Middle Blvd, Salisbury, MD 21801-6213 | 2013-03-21 |
1538448808 | Shu-chai Willy Lin | Family Medicine | 1402 Home Pl, Salisbury, MD 21804-9302 | 2011-08-04 |
1932498227 | Medical Alliance Group, Inc | Family Medicine | 206 Churchill Dr, Salisbury, NC 28144-8307 | 2011-04-07 |
1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
1659514271 | Hilda Imelio Houlihan | Family Medicine | 1318 Toadvine Rd, Salisbury, MD 21804-9245 | 2009-04-13 |
Find all providers in SALISBURY |
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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.