NOVANT MEDICAL GROUP, INC (NPI# 1720394927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720394927 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH SLEEP MEDICINE |
| Practice Address |
1450 Matthews Township Pkwy Suite 355 Matthews NC 28105-4300 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043165000 |
| Practice Fax Number | 7043165010 |
| Mailing Telephone | 7043165000 |
| Mailing Fax Number | 7043165010 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2018-01-29 |
| Authorized Official Name | MR. GEOFFREY GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Sleep Medicine | 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 |
1450 MATTHEWS TOWNSHIP PKWY SUITE 355 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273673 | Todd M Kopczynski | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2005-05-23 |
| 1508393927 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-2387 | 2017-05-16 |
| 1932631850 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 355, Matthews, NC 28105-2387 | 2017-03-30 |
| 1033566526 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 410, Matthews, NC 28105-2387 | 2016-05-16 |
| 1134506348 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-04-27 |
| 1053705418 | Suzanne Lake | Speech-Language Pathologist | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-03-24 |
| 1386032647 | Leah Miles Alexander | Physician Assistant | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 | 2015-01-08 |
| 1225426976 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-01-05 |
| 1063753325 | Novant Medical Group Inc | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2013-03-12 |
| 1487906590 | Presbyterian Medical Care Corp | Emergency Medicine | 1450 Matthews Township Pkwy, Suite 170, Matthews, NC 28105-2387 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499286 | Nations Sleep Disorders Center of North Carolina LLC | Internal Medicine | 658 N Spence Ave, Goldsboro, NC 27534-4233 | 2020-02-20 |
| 1437782109 | Nations Sleep Disorders Center of The Carolinas LLC | Internal Medicine | 715 Gum Branch Rd Ste 8, Jacksonville, NC 28540-6427 | 2020-02-20 |
| 1205177045 | Novant Medical Group Inc | Internal Medicine | 11840 Southmore Dr Ste 201, Charlotte, NC 28277-0785 | 2013-03-04 |
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1043545056 | Mid Atlantic Neurology & Sleep Medicine, P.a. | Internal Medicine | 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 | 2009-10-08 |
| 1205080314 | Lafayette Sleep Lab Pulmonology | Internal Medicine | 1746 Metromedical Dr, Fayetteville, NC 28304-3861 | 2008-11-17 |
| 1306061551 | Benjamin P Graef | Internal Medicine | 212 Le Phillip Ct Ne, Suite 105, Concord, NC 28025-2984 | 2007-04-14 |
| 1700958238 | Carolina Pulmonary and Comprehensive Sleep Center | Internal Medicine | 1198 Wyke Rd, Shelby, NC 28150-4259 | 2006-11-13 |
| 1508876418 | Glenn W Burris | Internal Medicine | 270 Pine Mountain Road, Suite 1, Hudson, NC 28638 | 2006-08-09 |
| 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.