NOVANT MEDICAL GROUP, INC (NPI# 1073951166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073951166 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH TRIAD RHEUMATOLOGY & ARTHRITIS |
| Practice Address |
445 Pineview Dr Suite 200 Kernersville NC 27284-3817 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3365644410 |
| Practice Fax Number | 3369922551 |
| Mailing Telephone | 7043847847 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | MR. GEOFFREY KEITH GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043365644410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Triad Rheumatology & Arthritis | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
445 PINEVIEW DR SUITE 200 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816913 | Judith O Hopkins | Internal Medicine | 445 Pineview Dr, Kernersville, NC 27284-3817 | 2006-01-25 |
| 1164881462 | Novant Medical Group Inc | Urology | 445 Pineview Dr, Suite 200, Kernersville, NC 27284-3818 | 2016-02-15 |
| 1386029254 | Novant Medical Group Inc | Podiatrist | 445 Pineview Dr, Ste 230, Kernersville, NC 27284-3817 | 2015-07-21 |
| 1881010106 | Orthocarolina, Pa | Orthopaedic Surgery | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3817 | 2014-03-11 |
| 1457782849 | Novant Medical Group Inc. | Podiatrist | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2013-12-10 |
| 1548609134 | Emily Aiken Anderson | Physician Assistant | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3817 | 2013-06-18 |
| 1881933992 | Forsyth Memorial Hospital Inc | Internal Medicine | 445 Pineview Dr, Suite 240, Kernersville, NC 27284-3818 | 2013-02-08 |
| 1780922831 | Cornerstone Health Care Pa | Podiatrist | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2013-01-24 |
| 1548493406 | Marc L Slatkoff | Internal Medicine | 445 Pineview Dr, Kernersville, NC 27284-3817 | 2009-08-26 |
| 1841487006 | Carolina Urological Associates, P.a. | Urology | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184131385 | Forsyth Memorial Hospital, Inc | Internal Medicine | 291 Broad St, Kernersville, NC 27284-2932 | 2018-01-09 |
| 1902075187 | Forsyth Memorial Hospital, Inc | Internal Medicine | 291 Broad St, Dba Rheumatology & Arthritis Associates, Kernersville, NC 27284-2932 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1992231591 | Christopher Overton | Internal Medicine | 3300 Thurston Building Cb# 7280, Chapel Hill, NC 27599-7280 | 2017-05-03 |
| 1902358294 | Integrative Rheumatology Pllc | Internal Medicine | 10826 Mallard Creek Rd Ste 100, Charlotte, NC 28262-7785 | 2016-11-02 |
| 1760801146 | Noopur Goel | Internal Medicine | 1001 Pemberton Hill Rd Ste 202, Apex, NC 27502-4265 | 2014-04-14 |
| 1134498108 | Lake Norman Arthritis Specialists, Pa | Internal Medicine | 130 Harbour Place Dr, Suite 100, Davidson, NC 28036-7441 | 2011-12-21 |
| 1437447844 | Priyank Chaudhary | Internal Medicine | 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804-8757 | 2011-07-19 |
| 1457666026 | Orwah Al-khalili | Internal Medicine | 7850 Brier Creek Pkwy, Raleigh, NC 27617-8900 | 2010-08-08 |
| 1265757157 | Surry Parker Roberts | Internal Medicine | 120 Woodburn Rd, Raleigh, NC 27605-1617 | 2010-04-02 |
| 1912235268 | Shanahan Rheumatology and Immunotherapy, Pllc | Internal Medicine | 10208 Cerny Street, Wake Med Brier Creek Medical Park, Raleigh, NC 27617 | 2009-11-25 |
| 1205163144 | George Ayo Korede | Internal Medicine | 1212 Spruce St Ste 311, Belmont, NC 28012 | 2009-11-13 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.