NOVANT MEDICAL GROUP, INC


Address: 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261
Phone: 7043847606

NOVANT MEDICAL GROUP, INC (NPI# 1962886218) 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) 1962886218
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC
Other Organization Name NOVANT HEALTH PEDIATRIC ARBORETUM
Practice Address 1718 E 4th St
Suite 401
Charlotte
NC 28204-3261
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043847606
Practice Fax Number 3362777722
Mailing Telephone 7043847606
Mailing Fax Number 3362777722
Enumeration Date 2015-07-16
Last Update Date 2017-08-07
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043847606
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Pediatric Arboretum Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVANT MEDICAL GROUP, INC. 200 Hawthorne Ln, Charlotte, NC 28204-2515

Office Location

Street Address 1718 E 4TH ST
SUITE 401
City CHARLOTTE
State NC
Zip Code 28204-3261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841298239 Kevin Hsu Internal Medicine 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 2005-07-11
1205373081 Miranda L Williams Physician Assistant 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2017-01-31
1881138873 Shannon Scandone Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-12-09
1063963866 Jessica Puskarich Nurse Practitioner 1718 E 4th St, Suite 307, Charlotte, NC 28204-3261 2016-10-18
1801343793 Novant Medical Group, Inc Pediatrics 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 2016-09-08
1497107536 Kelly J Coleman Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-07-12
1447616602 Lindsay Spears Taylor Physician Assistant 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-01-04
1982089322 Melanie Moshier Genetic Counselor, MS 1718 E 4th St, Suite 608, Charlotte, NC 28204-3261 2015-07-28
1780071373 Shannon Deluca Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2015-04-21
1619398070 Novant Medical Group Inc. Internal Medicine 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 2014-01-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619582343 Carolinas Physicians Network Inc Pediatrics 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 2020-09-10
1861004426 Carolinas Physicians Network Inc Pediatrics 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 2020-08-17
1568082212 Kidzcare Pediatrics, PC Pediatrics 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 2020-04-23
1881222404 Victoria Marie Carvajal Pediatrics Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 2020-03-30
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1407488349 Beth A Scisciani Pediatrics 8654 Walsham Dr, Charlotte, NC 28277-1850 2020-02-09
1962042416 Carolinas Physicians Network Inc Pediatrics 1308 Scott Ave, Charlotte, NC 28204-2918 2020-01-13
1083175533 Denise Makala Pediatrics 1000 Blythe Blvd 4th Floor, Meb, Cmc/levine Children's Hospital, Charlotte, NC 28203-5812 2019-03-27
1639565526 Emily Ogletree Pediatrics 8401 Medical Plaza Dr Ste 220, Charlotte, NC 28262-8700 2015-04-08
1811392343 Adriana Virginia Rosado-jimenez Pediatrics 10340 Park Rd Ste B, Charlotte, NC 28210-8401 2014-10-27
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28204

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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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