NOVANT MEDICAL GROUP, INC (NPI# 1467900977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467900977 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH ENDOCRINOLOGY COTSWOLD |
| Practice Address |
330 Billingsley Rd Suite 101 Charlotte NC 28211-5020 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043162335 |
| Practice Fax Number | 7043162326 |
| Mailing Telephone | 7043162335 |
| Mailing Fax Number | 7043162326 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | GEOFF K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043849672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Endocrinology Cotswold | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 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 |
330 BILLINGSLEY RD SUITE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897160 | John Edwin Lacouture Jr. | Specialist | 330 Billingsley Rd, Suite 103, Charlotte, NC 28211-5055 | 2005-08-09 |
| 1386288199 | Ellen Anderson | Counselor | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2019-11-05 |
| 1689183568 | Linda Latasha Williams | Social Worker | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2017-09-24 |
| 1659826295 | The Cataract Vision Institute LLC | Clinic/Center | 330 Billingsley Rd, Suite 205, Charlotte, NC 28211-5055 | 2016-08-24 |
| 1487020020 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5055 | 2015-08-18 |
| 1952792012 | Walton S. Peery,dds Pa | Dentist | 330 Billingsley Rd, Suite 200, Charlotte, NC 28211-5055 | 2015-02-11 |
| 1700129640 | Trina Health of The Carolinas | Clinic/Center | 330 Billingsley Rd, Suite 108, Charlotte, NC 28211-5055 | 2013-03-28 |
| 1780934224 | The Lasik Vision Institute, LLC | Clinic/Center | 330 Billingsley Rd, Ste 205, Charlotte, NC 28211-5055 | 2012-09-12 |
| 1730362104 | Mary Jorden Mcninch | Nurse Practitioner | 330 Billingsley Rd, Ste 101, Charlotte, NC 28211-5055 | 2007-12-09 |
| 1215130794 | David W. Stroup, Dds | Dentist | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927399 | Mercy Rossana Bayot Moore | Internal Medicine | 1918 Randolph Rd Ste 220, Suite 220, Charlotte, NC 28207-1109 | 2005-07-28 |
| 1659376051 | Godwin Obinna Uzomba | Internal Medicine | 4456 Central Ave, Charlotte, NC 28205-5702 | 2005-06-14 |
| 1518405257 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2017-02-02 |
| 1245627991 | Nicolas Mungo | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2015-04-21 |
| 1487081063 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd, Bldg 3000 Suite 3301f, Charlotte, NC 28262-3485 | 2013-09-27 |
| 1053754341 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1760724983 | Adva Tal Eisenberg | Internal Medicine | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | 2013-03-26 |
| 1396007704 | Victoria Rollins | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2012-06-12 |
| 1992078901 | Francisco E Bautista Vitiello | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 | 2012-02-22 |
| 1992085971 | Novant Medical Group, Inc | Internal Medicine | 15825 Ballantyne Medical Place, Suite 220, Charlotte, NC 28277-3147 | 2011-08-23 |
| 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.