NOVANT MEDICAL GROUP, INC.


Address: 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874
Phone: 7043165000

NOVANT MEDICAL GROUP, INC. (NPI# 1265622377) 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) 1265622377
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Other Organization Name NOVANT HEALTH SLEEP MEDICINE
Practice Address 14215 Ballantyne Coporate Place
Suite 230
Charlotte
NC 28277-3874
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043165000
Practice Fax Number 7043165010
Mailing Telephone 7043165000
Mailing Fax Number 7043165010
Enumeration Date 2007-07-26
Last Update Date 2018-01-29
Authorized Official Name MR. GEOFFREY GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043847603
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084S0012X Psychiatry & Neurology
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
33780 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1265622377 05
NC BCBS NC 019J7 01

Other Provider/Organization Names

Other Name Type Code
Novant Health Sleep Medicine 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 14215 BALLANTYNE COPORATE PLACE
SUITE 230
City CHARLOTTE
State NC
Zip Code 28277-3874

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205177045 Novant Medical Group Inc Internal Medicine 11840 Southmore Dr Ste 201, Charlotte, NC 28277-0785 2013-03-04
1861455651 Jeannine Louise Gingras Internal Medicine 6207 Park South Dr, Suite 101, Charlotte, NC 28210-3267 2006-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508499286 Nations Sleep Disorders Center of North Carolina LLC Internal Medicine 658 N Spence Ave, Goldsboro, NC 27534-4233 2020-02-20
1437782109 Nations Sleep Disorders Center of The Carolinas LLC Internal Medicine 715 Gum Branch Rd Ste 8, Jacksonville, NC 28540-6427 2020-02-20
1235414830 Cleveland Health Ventures LLC Internal Medicine 823 E. King Street, Kings Mountain, NC 28086-3186 2011-10-14
1861795916 Cleveland Health Ventures LLC Internal Medicine 802 N Lafayette St, Shelby, NC 28150-3831 2010-12-13
1043545056 Mid Atlantic Neurology & Sleep Medicine, P.a. Internal Medicine 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 2009-10-08
1205080314 Lafayette Sleep Lab Pulmonology Internal Medicine 1746 Metromedical Dr, Fayetteville, NC 28304-3861 2008-11-17
1306061551 Benjamin P Graef Internal Medicine 212 Le Phillip Ct Ne, Suite 105, Concord, NC 28025-2984 2007-04-14
1700958238 Carolina Pulmonary and Comprehensive Sleep Center Internal Medicine 1198 Wyke Rd, Shelby, NC 28150-4259 2006-11-13
1508876418 Glenn W Burris Internal Medicine 270 Pine Mountain Road, Suite 1, Hudson, NC 28638 2006-08-09
1154375202 Wilson Sleep Disorders Center, Pa Internal Medicine 110 Brentwood Center Ln N, Wilson, NC 27896-1710 2006-05-22
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Competitor

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City CHARLOTTE
Zip Code 28277

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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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