NOVANT MEDICAL GROUP, INC (NPI# 1538653555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538653555 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH SPINE SPECIALISTS |
| Practice Address |
8201 Healthcare Loop Ste 201 Charlotte NC 28215-7072 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043674800 |
| Mailing Telephone | 7043674800 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | SHALA DAVIS (MANAGER OF MANAGED CARE ENROLLMENT) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Spine Specialists | 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 |
8201 HEALTHCARE LOOP STE 201 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-7072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417046343 | Jennifer Lauren Dallas | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2006-10-11 |
| 1780145391 | Novant Medical Group, Inc. | Neurological Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2019-03-27 |
| 1063906089 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1093228827 | Meghan Leigh Mcinnis | Nurse Practitioner | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-11-15 |
| 1720590185 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-10-25 |
| 1265878680 | Kristina May Shaffer | Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2013-05-13 |
| 1821264169 | Lilian M. Harris | Specialist | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728429 | Select Care of Nc, LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300a, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1326546607 | Joint Replacement Cin of Charlotte LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300b, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1598027252 | Daniel Paul Leas | Orthopaedic Surgery | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2012-06-08 |
| 1255323044 | Samuel J Chewning Jr. | Orthopaedic Surgery | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647619 | Spine Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1518465897 | Joint Replacement Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-278, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1407159387 | Lee A Whitehurst | Orthopaedic Surgery | 1401 Landfall Dr, Wilmington, NC 28405-4251 | 2010-12-14 |
| 1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
| 1043421076 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 200 W Parkview Dr Ste B, Henderson, NC 27536-5958 | 2007-05-24 |
| 1083651863 | James Edwin Rice | Orthopaedic Surgery | 4 Braemar Court, Turnberry Woods, Pinehurst, NC 28374 | 2006-06-01 |
| 1386107159 | Snc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1033672803 | Snc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1497224760 | Novant Medical Group Inc | Orthopaedic Surgery | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6979 | 2018-11-16 |
| 1780163766 | Novant Medical Group, Inc. | Orthopaedic Surgery | 1910 Jake Alexander Blvd W Ste 102, Salisbury, NC 28147-1163 | 2018-08-09 |
| 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.