NOVANT MEDICAL GROUP, INC (NPI# 1649785577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649785577 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH PSYCHIATRY |
| Practice Address |
845 Church St N Ste 203 Concord NC 28025-4374 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043165027 |
| Practice Fax Number | 7043165028 |
| Mailing Telephone | 7043165027 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Psychiatry | 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 |
845 CHURCH ST N STE 203 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427278696 | Sumana Gadde | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2007-04-27 |
| 1124564901 | Hillary Fahye Allan | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2017-01-17 |
| 1649725581 | Crystal Yvette Brooks | Social Worker | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2016-08-21 |
| 1134514987 | Madeline Proehl Toland | Counselor | 845 Church St N Ste 203, Concord, NC 28025 | 2015-03-30 |
| 1154660827 | Quanita Small | Social Worker | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2013-01-31 |
| 1730450545 | Tammy F Redmond | Social Worker | 845 Church St N Ste 203, Concord, NC 28025 | 2012-01-25 |
| 1457654204 | Shannon Martin Fowler | Physician Assistant | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2010-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537287 | Carolyn Rosa Mallon | Psychiatry & Neurology | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-10-29 |
| 1669977682 | Cep America - Psychiatry PC | Psychiatry & Neurology | 4080 Port Chicago Hwy, Concord, CA 94520-1121 | 2018-03-30 |
| 1891002952 | Outlook Forensic & Behavioral Health | Psychiatry & Neurology | 280 Executive Park Dr, Suite 100, Concord, NC 28025-1837 | 2010-09-09 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1548473218 | Sunita Kumari Mall | Psychiatry & Neurology | 1420 Willow Pass Rd # 200, Concord, CA 94520-5823 | 2007-05-08 |
| 1427278696 | Sumana Gadde | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2007-04-27 |
| 1356461156 | Scott Morris | Psychiatry & Neurology | 1150 Main St Ste 10, Concord, MA 01742-3058 | 2007-03-29 |
| 1386761815 | Wendi Diamond | Psychiatry & Neurology | 1150 Main Street, Suite 9, Concord, MA 01742-3053 | 2007-03-22 |
| 1780710376 | Frank Guastella Anderson | Psychiatry & Neurology | 70 Junction Square Dr # A, Concord, MA 01742-3049 | 2007-02-26 |
| 1255485322 | Steven M Mirin | Psychiatry & Neurology | 384 Caterina Hts, Concord, MA 01742-4752 | 2007-01-23 |
| Find all providers in CONCORD | ||||
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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.