NOVANT MEDICAL GROUP, INC.


Address: 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571
Phone: 7043164830

NOVANT MEDICAL GROUP, INC. (NPI# 1053878868) 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) 1053878868
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Practice Address 106 Langtree Village Dr Ste 200
Mooresville
NC 28117-7571
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043164830
Mailing Telephone 7043164830
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043847840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Harbor Pointe OB/GYN Doing Business As Name - Organization

Other Provider IDs and Locations

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

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 106 LANGTREE VILLAGE DR STE 200
City MOORESVILLE
State NC
Zip Code 28117-7571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417937368 Thomas E Jenike Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2006-01-18
1699328047 Novant Medical Group Inc Internal Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-07-24
1245793546 Laura Lynn Adkins Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-04-12
1386044527 Collin Wright Physician Assistant 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2014-08-25
1174964225 Jamie Seidl Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2013-07-17
1184934465 Natasha Jones Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2010-10-20
1346431806 Brent Penhall Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2007-08-08
1952403768 Sharon M Stitt Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-09-02
1376552992 Victoria K. King Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2006-08-05
1356311575 Deborah Parry Warren Obstetrics & Gynecology 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184244881 Carolinas Physicians Network Inc Obstetrics & Gynecology 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 2020-04-22
1740544600 Nicole Sharon Wellbaum Obstetrics & Gynecology 131 Medical Park Rd Ste 102, Mooresville, NC 28117-8523 2012-06-26
1477585107 Todd Jerry Adams Obstetrics & Gynecology 235 Medical Park Rd, Suite 201, Mooresville, NC 28117-8545 2006-07-06
1174593313 James D Wilson Obstetrics & Gynecology 131 Medical Park Rd, Ste 102, Mooresville, NC 28117 2006-01-23
1558357079 Michael Lenwood Boothe Obstetrics & Gynecology 1205 Hadley Rd, Mooresville, IN 46158-1737 2005-09-20
1801899901 Nicole Suzette Perry Obstetrics & Gynecology 100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 2005-05-23
1487012886 Novant Medical Group, Inc. Obstetrics & Gynecology 106 Langtree Village Drive, Suite 200, Mooresville, NC 28117 2016-02-01
1558708032 Brittany E Johnson Obstetrics & Gynecology 1205 Hadley Rd, Mooresville, IN 46158 2013-05-24
1285909002 Southside Ob/gyn P.C. Obstetrics & Gynecology 1205 Hadley Rd, Mooresville, IN 46158-1737 2012-03-12
1659693679 Neal Edward Ipema Obstetrics & Gynecology 100 Town Center Rd S, Suiteb, Mooresville, IN 46158-2321 2010-02-17
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Competitor

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City MOORESVILLE
Zip Code 28117

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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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