NOVANT MEDICAL GROUP. INC. (NPI# 1982110342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982110342 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP. INC. |
| Other Organization Name | NOVANT HEALTH CARE CONNECTIONS PROVIDER SERVICES |
| Practice Address |
1236 Guilford College Rd Ste 117 Jamestown NC 27282 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3368560801 |
| Practice Fax Number | 3368562804 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Care Connections Provider Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3545 Whitehall Park Dr Ste 300, Charlotte, NC 282734179 | 7043166187 | 7043166217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
| 1104396761 | Novant Medical Group. Inc. | Preventive Medicine | 9600 E. Independence Blvd, Matthews, NC 28105-4628 | 2018-11-27 |
| 1205473261 | Novant Medical Group. Inc. | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2019-12-09 |
| 1649816273 | Novant Medical Group. Inc. | Family Medicine | 903 Randolph St, Thomasville, NC 27360-5898 | 2019-11-19 |
| 1750924213 | Novant Medical Group. Inc. | Family Medicine | 16525 Holly Crest Ln Ste 150, Huntersville, NC 28078-4911 | 2019-10-28 |
| 1629611579 | Novant Medical Group. Inc. | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2019-10-23 |
| 1093369530 | Novant Medical Group. Inc. | Obstetrics & Gynecology | 2290 Remount Rd, Gastonia, NC 28054-4725 | 2019-08-01 |
| 1821551615 | Novant Medical Group. Inc. | Clinic/Center | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2019-04-09 |
| 1548726060 | Novant Medical Group. Inc. | Family Medicine | 165 Lowes Foods Dr, Lewisville, NC 27023-8258 | 2019-02-20 |
| 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 |
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
1236 GUILFORD COLLEGE RD STE 117 |
| City | JAMESTOWN |
| State | NC |
| Zip Code | 27282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628800 | James Carney Irion | Family Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282-9875 | 2005-09-09 |
| 1134601941 | Niall Anthony Moreira | Physician Assistant | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282-9875 | 2018-08-29 |
| 1275992943 | Amanda Brooks Adamski | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2016-02-23 |
| 1063671188 | Stephanie J Powers | Family Medicine | 1236 Guilford College Rd Ste 117, Suite 216, Jamestown, NC 27282-9875 | 2008-06-04 |
| 1932200029 | Ashley Craver Quarless | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282-9875 | 2006-09-25 |
| 1255376752 | Maria Eugenia Iruela | Internal Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282-9875 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
| 1912269036 | Jacob Ilardi | Licensed Practical Nurse | 310 Nutwood Circle, Jameston, NC 27282 | 2012-06-14 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1972787083 | Charles L Brandenburg IIi Dds | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| 1013034156 | Cecelia A Tolliver | Specialist/Technologist | 602 High Point Rd., Jamestown, NC 27282 | 2007-03-23 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1548573207 | Regional Physicians LLC | Family Medicine | 604 W Main St, Jamestown, NC 27282 | 2010-07-22 |
| 1669647897 | Annia Cuebas-colon | Social Worker | 902 Bonner Dr, Jamestown, NC 27282 | 2008-04-29 |
| 1962686071 | Charles L Brandenburg IIi | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| Find all providers in zip 27282 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1477751360 | Jessica E. Hartman | Family Medicine | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9810 | 2007-07-03 |
| 1285733766 | C S Sewell M.d. P.C. | Family Medicine | 341 West Central Ave, Jamestown, TN 38556 | 2006-09-21 |
| 1326066713 | Denise R Kennedy | Family Medicine | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2006-07-17 |
| 1215961347 | Wolf-dieter Krahn | Family Medicine | 15 S Main St Ste 150, Jamestown, NY 14701-6627 | 2006-07-11 |
| 1992751887 | David Charles Tattan | Family Medicine | 3165 24th Ave, Jamestown, MI 49427-0230 | 2006-05-25 |
| 1336190693 | Dakota Clinic, Ltd. | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-12 |
| 1952359945 | Dilip N Joshi | Family Medicine | 117 North Duncan Street, Jamestown, TN 38556 | 2006-05-04 |
| 1588620728 | Patricia A Kline | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2006-04-25 |
| Find all providers in JAMESTOWN | ||||
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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.