NOVANT MEDICAL GROUP INC (NPI# 1982841243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982841243 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH PEACHVIEW FAMILY MEDICINE |
| Practice Address |
722 Hyatt St Suite B Gaffney SC 29341-2643 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8644881400 |
| Practice Fax Number | 8644881057 |
| Mailing Telephone | 8644881400 |
| Mailing Fax Number | 8644881057 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043849094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5091 | 05 |
| Other Name | Type Code |
|---|---|
| Novant Health Peachview Family Medicine | 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 |
722 HYATT ST SUITE B |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154390599 | David J Lydon | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2006-03-17 |
| 1902327760 | Betsey Collins Scruggs | Nurse Practitioner | 722 Hyatt St, Gaffney, SC 29341-2643 | 2017-07-02 |
| 1932657640 | Dianna Michelle Peterson | Nurse Practitioner | 722 Hyatt St, Gaffney, SC 29341-2643 | 2016-09-12 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 1609264936 | Spartanburg Medical Center | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2015-01-09 |
| 1932334786 | Doshandra N Nelson | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2009-05-22 |
| 1598902488 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite A, Gaffney, SC 29341-2643 | 2009-01-14 |
| 1891932919 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2644 | 2009-01-12 |
| 1598900078 | Mary Black Physicians Group, LLC | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2643 | 2008-12-11 |
| 1134376734 | Novant Medical Group Inc | Orthopaedic Surgery | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| 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 |
|---|---|---|---|---|
| 1821649393 | Cherokee Medical Center | Family Medicine | 722 Hyatt St Ste C, Gaffney, SC 29341-2644 | 2019-09-25 |
| 1801900865 | Mary Black Health System LLC | Family Medicine | 724 Hyatt St Ste D, Gaffney, SC 29341-2630 | 2006-08-18 |
| 1144261983 | Spartanburg Medical Center | Family Medicine | 1341 N Limestone St, Gaffney, SC 29340-4823 | 2006-06-10 |
| 1629021829 | Richard C Cutchin | Family Medicine | 517 Chesnee Hwy, Suite A, Gaffney, SC 29341-2709 | 2006-05-18 |
| 1225095243 | Barbara C Ray | Family Medicine | 1604 N Limestone St, Gaffney, SC 29340-2312 | 2006-04-26 |
| 1154390599 | David J Lydon | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2006-03-17 |
| 1881665685 | Marian Jane Wasson | Family Medicine | 1307 N Logan St, Gaffney, SC 29341-2026 | 2006-01-30 |
| 1275504359 | Robert Wayne Kaemmerlen | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2006-01-27 |
| 1710965637 | Robert E Jackson Jr. | Family Medicine | 517 Chesnee Hwy Ste A, Gaffney, SC 29341-2709 | 2006-01-03 |
| 1386625564 | Khalid N Soherwardy | Family Medicine | 317 N Logan St, Gaffney, SC 29341-2353 | 2005-11-07 |
| Find all providers in GAFFNEY | ||||
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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.