NOVANT MEDICAL GROUP INC


Address: 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571
Phone: 7043849900

NOVANT MEDICAL GROUP INC (NPI# 1699328047) 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) 1699328047
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP INC
Practice Address 106 Langtree Village Dr Ste 200
Mooresville
NC 28117-7571
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043849900
Practice Fax Number 7043849917
Mailing Telephone 7043849900
Mailing Fax Number 7043849917
Enumeration Date 2019-07-24
Last Update Date 2019-07-24
Authorized Official Name SHALA DAVIS (MANAGED CARE ENROLLMENT MANAGER)
Authorized Official Telephone 7043167845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Pulmonary & Critical Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700433711 Novant Medical Group Inc Psychiatry & Neurology 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 2019-08-23
1205481009 Novant Medical Group Inc Dermatology 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 2019-08-08
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1205355799 Novant Medical Group Inc Family Medicine 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 2017-09-15
1679090468 Novant Medical Group Inc Internal Medicine 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 2017-08-23
1003332016 Novant Medical Group Inc Internal Medicine 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 2017-08-22
1255709432 Novant Medical Group Inc Family Medicine 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 2015-09-04
1215326665 Novant Medical Group Inc Surgery 819 N Atlantic Ave, Southport, NC 28461-3531 2015-01-22
1194113662 Novant Medical Group Inc Obstetrics & Gynecology 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 2015-01-06
1437556594 Novant Medical Group Inc Internal Medicine 13 Medical Campus, Suite 102, Supply, NC 28462-4093 2014-12-04

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Novant Medical Group Inc. 2626 Glenwood Ave Ste 550, Raleigh, NC 27608
Virginia Business Entities Novant Medical Group Inc. 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103

Office Location

Street Address 106 LANGTREE VILLAGE DR STE 200
City MOORESVILLE
State NC
Zip Code 28117-7571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417937368 Thomas E Jenike Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2006-01-18
1245793546 Laura Lynn Adkins Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-04-12
1053878868 Novant Medical Group, Inc. Obstetrics & Gynecology 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-02-28
1386044527 Collin Wright Physician Assistant 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2014-08-25
1174964225 Jamie Seidl Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2013-07-17
1184934465 Natasha Jones Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2010-10-20
1346431806 Brent Penhall Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2007-08-08
1952403768 Sharon M Stitt Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-09-02
1376552992 Victoria K. King Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2006-08-05
1356311575 Deborah Parry Warren Obstetrics & Gynecology 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669588190 Lake Norman Sleep Center, Pa Internal Medicine 170 Medical Park Rd, Suite 103, Mooresville, NC 28117-8540 2006-08-21
1710998802 Sever Catalin Surdulescu Internal Medicine 170 Medical Park Rd, Suite 103, Mooresville, NC 28117-8540 2006-08-11
1306801998 Lesa Orlando Lewandowski Internal Medicine 170 Medical Park Rd, Suite103, Mooresville, NC 28117-8540 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982185377 Fhpg, LLC Internal Medicine 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 2018-08-24
1871034595 Jane Tramontana Internal Medicine 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 2017-03-14
1962953877 Novant Medical Group, Inc Internal Medicine 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 2016-10-17
1154774032 Roanoke Valley Health Services, Inc Internal Medicine 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 2016-07-15
1376974485 Gottskalk Bjornsson Internal Medicine 363 Creedmoor Rd, Jacksonville, NC 28546-6035 2013-11-29
1396017752 Blue Ridge Healthcare Medical Group, Inc. Internal Medicine 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 2012-02-01
1518283373 Christine Lee Vigeland Internal Medicine 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 2010-04-19
1821314014 Luz Juliana Barahona Internal Medicine 706 Rosanne Dr, Kinston, NC 28504-1550 2010-04-13
1407188600 Blue Ridge Healthcare Medical Group, Inc. Internal Medicine 117-b Foothills Dr, Morganton, NC 28655 2010-02-12
1164690731 Pulmonology & Bronchology Internal Medicine 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 2008-02-15
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Competitor

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City MOORESVILLE
Zip Code 28117

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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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