NOVANT MEDICAL GROUP INC (NPI# 1912348483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912348483 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH PALLIATIVE CARE |
| Practice Address |
1010 Bethesda Ct Winston Salem NC 27103-3019 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3362778800 |
| Practice Fax Number | 3362778850 |
| Mailing Telephone | 7043847840 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MR. GEOFFREY KEITH GARDNER (VP FINANCE) |
| Authorized Official Telephone | 3362778800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Palliative Care | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
1010 BETHESDA CT |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210707 | Piedmont Hematology-oncology Associates, Pllc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2006-01-20 |
| 1497361455 | Dominika Bajguz | Genetic Counselor, MS | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2020-09-16 |
| 1003300609 | Daria Wuycik Wooten | Pharmacist | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2018-06-18 |
| 1083119366 | Sarah Caitlin Hughes | Genetic Counselor, MS | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2018-03-28 |
| 1104321470 | Erica Lynn Cousins | Genetic Counselor, MS | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2018-03-28 |
| 1215484340 | Novant Medical Group | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2016-09-07 |
| 1659737757 | Novant Medical Group, Inc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2016-01-06 |
| 1649635954 | Novant Medical Group, Inc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2015-12-31 |
| 1083934343 | Elizabeth Miles Haynes | Physician Assistant | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2010-06-09 |
| 1154560621 | Sarah Rebecca Johnson | Nurse Practitioner | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447286109 | Karen Mylenek Reichow | Internal Medicine | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
| 1841669462 | Carolina Palliative Medicine & Supportive Care Pllc | Internal Medicine | 1112 Green Springs Rd, New Bern, NC 28560-6622 | 2015-09-24 |
| 1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
| 1366436735 | Nalin Mehta | Internal Medicine | 5003 Hospice Ln, Kannapolis, NC 28081-5784 | 2005-08-31 |
| 1447878764 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1689238594 | Hospice and Home Care of Alexander County Inc | Internal Medicine | 50 Lucy Echerd Ln, Taylorsville, NC 28681-3099 | 2019-04-25 |
| 1598328866 | Novant Medical Group, Inc. | Internal Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2019-04-22 |
| 1407419765 | Novant Medical Group, Inc. | Internal Medicine | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-04-22 |
| 1790258234 | Lower Cape Fear Hospice, Incorporated | Internal Medicine | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2019-01-08 |
| 1730655275 | Novant Medical Group, Inc. | Internal Medicine | 8201 Healthcare Loop, Charlotte, NC 28215-7072 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.