NOVANT MEDICAL GROUP, INC. (NPI# 1326686890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326686890 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH WOMEN'S SEXUAL HEALTH & WELLNESS |
| Practice Address |
6324 Fairview Rd Ste 440 Charlotte NC 28210-4278 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 9803028945 |
| Practice Fax Number | 9803028980 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Women's Sexual Health & Wellness | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
6324 FAIRVIEW RD STE 440 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367680 | Alyse Kelly-jones | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2005-06-23 |
| 1295226223 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2018-05-25 |
| 1750609251 | Jed Ryan Schortz | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952736142 | Brandon Gynecology Associates, Pa | Obstetrics & Gynecology | 10310 Mallard Creek Rd Ste 101d, Mallard Crossing Medical Park, Charlotte, NC 28262-4563 | 2013-09-06 |
| 1639389240 | Ashutosh Ron Virmani | Obstetrics & Gynecology | 4626 Charlestowne Manor Dr, Charlotte, NC 28211-3185 | 2007-05-23 |
| 1154543239 | Ronald L Brown | Obstetrics & Gynecology | 423 S Sharon Amity Rd Ste C, Charlotte, NC 28211-2974 | 2007-05-02 |
| 1568501856 | Kenneth H Chambers | Obstetrics & Gynecology | 1406 Beatties Ford Rd, Charlotte, NC 28216-4550 | 2007-02-05 |
| 1558367680 | Alyse Kelly-jones | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2005-06-23 |
| 1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
| 1912445560 | Thrive Gynecology Pllc | Obstetrics & Gynecology | 6401 Morrison Blvd, Suite 2a, Charlotte, NC 28211-3800 | 2017-02-03 |
| 1881131167 | Thrive Personalized Healthcare and Wellness | Obstetrics & Gynecology | 6401 Morrison Blvd, Suite 2a, Charlotte, NC 28211-3800 | 2017-01-25 |
| 1366794455 | Center for Sexual Health and Education | Obstetrics & Gynecology | 10801 Johnston Rd, Suite 121, Charlotte, NC 28226-4558 | 2012-10-12 |
| 1437470150 | Jimmie Isaac Newton | Obstetrics & Gynecology | 3220 Latrobe Dr, Charlotte, NC 28211-4845 | 2010-06-16 |
| 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.