NOVANT MEDICAL GROUP INC (NPI# 1164792008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164792008 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH SLEEP |
| Practice Address |
8310 University Exec Park Dr Suite 550 Charlotte NC 28262-3383 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043843820 |
| Practice Fax Number | 7043163825 |
| Mailing Telephone | 7043163820 |
| Mailing Fax Number | 7043163825 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | MR. GEOFFREY GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Sleep | 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 |
8310 UNIVERSITY EXEC PARK DR SUITE 550 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711663 | Eric P Anderson | Chiropractor | 8310 University Exec Park Dr, Suite 525, Charlotte, NC 28262-3383 | 2005-09-21 |
| 1114302817 | Jennifer Starnes Martyak | Nurse Practitioner | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2015-07-22 |
| 1669716262 | The Presbyterian Hospital | Internal Medicine | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2012-11-20 |
| 1689926792 | Novant Medical Group, Inc | Internal Medicine | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2012-10-12 |
| 1679749253 | Chara Chinyere Freeman | Family Medicine | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2008-05-05 |
| 1265521397 | Anderson Family Chiropractic, Pllc | Chiropractor | 8310 University Exec Park Dr, Suite 525, Charlotte, NC 28262-3383 | 2006-10-12 |
| 1528177383 | Leanna Jo Worsham | Nurse Practitioner | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-1572 | 2006-08-29 |
| 1912914250 | Jamie N Holsonback | Nurse Practitioner | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2006-08-01 |
| 1992731996 | Walter R Tucker | Family Medicine | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2006-06-23 |
| 1427002898 | James David Kay | Internal Medicine | 8310 University Exec Park Dr, Suite 550, Charlotte, NC 28262-3383 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
| 1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
| 1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
| 1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1467700872 | Carolinas Medical Center | Psychiatry & Neurology | 1010 Edgehill Rd N, Suite B, Charlotte, NC 28207-1885 | 2012-08-16 |
| 1962657353 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1900 Randolph Road, Suite 300, Charlotte, NC 28207-1106 | 2008-11-26 |
| 1639359276 | Kimberly Mims | Psychiatry & Neurology | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2007-11-12 |
| 1841304748 | Douglas Kirsch | Psychiatry & Neurology | 1601 Abbey Pl, Ste 200, Charlotte, NC 28209-3835 | 2006-08-18 |
| 1407807092 | The Neurological Institute P.a. | Psychiatry & Neurology | 7000 Shannon Willow Rd, Charlotte, NC 28226-1318 | 2006-05-16 |
| Find all providers in CHARLOTTE | ||||
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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.