NOVANT MEDICAL GROUP. INC. (NPI# 1104396761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104396761 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP. INC. |
Other Organization Name | NOVANT HEALTH OCCUPATIONAL MEDICINE |
Practice Address |
9600 E. Independence Blvd Matthews NC 28105-4628 |
Mailing Address |
Po Box 71052 Charlotte NC 28272-1052 |
Practice Telephone | 7043848441 |
Practice Fax Number | 7043848442 |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-12-12 |
Authorized Official Name | SHALA DAVIS (RCS MANAGER) |
Authorized Official Telephone | 7043167845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Occupational Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
1205473261 | Novant Medical Group. Inc. | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2019-12-09 |
1649816273 | Novant Medical Group. Inc. | Family Medicine | 903 Randolph St, Thomasville, NC 27360-5898 | 2019-11-19 |
1750924213 | Novant Medical Group. Inc. | Family Medicine | 16525 Holly Crest Ln Ste 150, Huntersville, NC 28078-4911 | 2019-10-28 |
1629611579 | Novant Medical Group. Inc. | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2019-10-23 |
1093369530 | Novant Medical Group. Inc. | Obstetrics & Gynecology | 2290 Remount Rd, Gastonia, NC 28054-4725 | 2019-08-01 |
1821551615 | Novant Medical Group. Inc. | Clinic/Center | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2019-04-09 |
1548726060 | Novant Medical Group. Inc. | Family Medicine | 165 Lowes Foods Dr, Lewisville, NC 27023-8258 | 2019-02-20 |
1669949285 | Novant Medical Group. Inc. | Family Medicine | 1977 Cotton Grove Rd, Lexington, NC 27292-5721 | 2018-11-01 |
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 |
System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
Street Address |
9600 E. INDEPENDENCE BLVD |
City | MATTHEWS |
State | NC |
Zip Code | 28105-4628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
Find all providers in zip 28105 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336708353 | Elizabeth Hall Carver | Preventive Medicine | Box Dumc 3148, Durham, NC 27710-0001 | 2019-06-12 |
1417446667 | Carolina Medicorp Enterprises, Inc. | Preventive Medicine | 330 Billingsley Rd Ste 101, Charlotte, NC 28211-5020 | 2018-05-03 |
1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
1750623187 | Alexander Francis Sanchez Jr. | Preventive Medicine | 170 Iron Gate Cir, Mooresville, NC 28117-5518 | 2013-03-24 |
1386835098 | Michael Creel | Preventive Medicine | W A M C, Fort Bragg, NC 28310-0001 | 2007-08-07 |
1376745216 | Donald Merrill Garland | Preventive Medicine | 159 Stone House Road, Hendersonville, NC 28739-5830 | 2007-06-04 |
1417070897 | Terry Alice Mcinnis | Preventive Medicine | 203 Frenchmans Bluff Dr, Cary, NC 27513-5661 | 2007-04-09 |
1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
1588779102 | Joseph Anthony Guarino | Preventive Medicine | 217 Turner Dr Ste A, Reidsville, NC 27320-5754 | 2006-08-21 |
1144289737 | Dennis John Darcey | Preventive Medicine | Box 3834 Dumc, Durham, NC 27710-0001 | 2006-03-22 |
Find all providers with the same taxonomy |
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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.