NOVANT MEDICAL GROUP, INC.


Address: 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117
Phone: 7043163070

NOVANT MEDICAL GROUP, INC. (NPI# 1073023503) 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) 1073023503
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Other Organization Name NOVANT HEALTH BRAIN AND SPINE SURGERY
Practice Address 1900 Randolph Rd Ste 1010
Charlotte
NC 28207-1117
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043163070
Practice Fax Number 7043163071
Enumeration Date 2017-10-11
Last Update Date 2019-02-13
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 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Brain and Spine Doing Business As Name - Organization
Novant Health Brain and Spine Surgery Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
201 Queens Rd, Charlotte, NC 282043217 7043163070 7043163071

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 1900 RANDOLPH RD STE 1010
City CHARLOTTE
State NC
Zip Code 28207-1117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376753061 Lili Jo Poon Internal Medicine 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 2007-05-23
1497393995 Allyson Cline Nurse Practitioner 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 2019-12-15
1477092179 Novant Medical Group, Inc. Pediatrics 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 2017-02-15
1952564015 Melissa Lynn Cirillo Psychiatry & Neurology 1900 Randolph Rd Ste 1010, Charlotte, NC 28207 2008-07-08
1275737884 Gloria Mcdaniel-massey Licensed Practical Nurse 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 2007-06-14

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679898548 Andrew Hall Marky Neurological Surgery 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 2010-04-02
1902058852 Richard Paul Greenberg Neurological Surgery 3900 Colony Road Ste-c, Ageless Remedies, Charlotte, NC 28211-5022 2008-10-22
1619181898 Erin N Kiehna Neurological Surgery 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 2007-05-09
1467673723 Sarah Crissey Jernigan Neurological Surgery 225 Baldwin Avenue, Charlotte, NC 28204-3109 2007-05-02
1336775535 Novant Medical Group, Inc. Neurological Surgery 2711 Randolph Rd Ste 100, Charlotte, NC 28207-2027 2020-03-19
1346703865 Novant Medical Group, Inc. Neurological Surgery 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 2019-04-11
1780145391 Novant Medical Group, Inc. Neurological Surgery 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 2019-03-27
1801329602 David Richard Peters Neurological Surgery 1000 Blythe Blvd, Charlotte, NC 28203-5812 2017-04-07
1013370089 Vincent Jack Rossi Neurological Surgery 1000 Blythe Blvd, Charlotte, NC 28203-5812 2016-03-29
1558730028 Carolina Neurosurgery & Spine Associates, Pa Neurological Surgery 14135 Ballantyne Corporate Pl, Suite 100, Charlotte, NC 28277-3383 2015-09-15
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28207

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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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