NOVANT MEDICAL GROUP, INC. (NPI# 1962657353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962657353 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP, INC. |
Other Organization Name | NOVANT HEALTH SLEEP MEDICINE |
Practice Address |
1900 Randolph Road Suite 300 Charlotte NC 28207-1106 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7043163820 |
Practice Fax Number | 7043163825 |
Mailing Telephone | 7043163820 |
Mailing Fax Number | 7043163825 |
Enumeration Date | 2008-11-26 |
Last Update Date | 2018-01-30 |
Authorized Official Name | MR. GEOFFERY K. GARDNER (VP OF FINANCE) |
Authorized Official Telephone | 7043847603 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
NC | Allopathic & Osteopathic Physicians | |
Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
33780 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1962657353 | 05 |
Other Name | Type Code |
---|---|
Novant Health Sleep Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
1437706256 | Novant Medical Group, Inc. | Physical Therapist | 11202 Harris Rd, Huntersville, NC 28078-7633 | 2019-08-26 |
1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
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 |
1900 RANDOLPH ROAD SUITE 300 |
City | CHARLOTTE |
State | NC |
Zip Code | 28207-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619932746 | Joanna E York | Emergency Medicine | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1117 | 2006-04-20 |
1790910479 | Viranga Chamindi Pathiraja | Psychiatry & Neurology | 1900 Randolph Road, Suite 800, Charlotte, NC 28207-1110 | 2009-05-25 |
1922182492 | Andrew Schulman | Surgery | 1900 Randolph Road, Ste 210, Charlotte, NC 28207-1106 | 2006-10-24 |
1588610471 | Novant Medical Group, Inc | Counselor | 1900 Randolph Road, Suite 800, Charlotte, NC 28207-1110 | 2006-05-25 |
1366409492 | Novant Medical Group, Inc | Pediatrics | 1900 Randolph Road, Suite 1010, Charlotte, NC 28207-1117 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
Find all providers in zip 28207 |
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 |
---|---|---|---|---|
1205177045 | Novant Medical Group Inc | Internal Medicine | 11840 Southmore Dr Ste 201, Charlotte, NC 28277-0785 | 2013-03-04 |
1861455651 | Jeannine Louise Gingras | Internal Medicine | 6207 Park South Dr, Suite 101, Charlotte, NC 28210-3267 | 2006-04-11 |
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 |
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 |
1154375202 | Wilson Sleep Disorders Center, Pa | Internal Medicine | 110 Brentwood Center Ln N, Wilson, NC 27896-1710 | 2006-05-22 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on NOVANT MEDICAL GROUP, INC..
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.