NOVANT MEDICAL GROUP INC


Address: 111 S Salisbury Gq Ave, Salisbury, NC 28146-8150
Phone: 7042791679

NOVANT MEDICAL GROUP INC (NPI# 1104152024) 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) 1104152024
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP INC
Other Organization Name NOVANT HEALTH GRANITE QUARRY INTERNAL MEDICINE & PEDIATRICS
Practice Address 111 S Salisbury Gq Ave
Salisbury
NC 28146-8150
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7042791679
Practice Fax Number 7042791677
Mailing Telephone 7042791679
Mailing Fax Number 7042791677
Enumeration Date 2009-10-28
Last Update Date 2016-07-28
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043849094
Is Organization Subpart Y
Parent Organization Name NOVANT MEDICAL GROUP, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics NC Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5913612 05

Other Provider/Organization Names

Other Name Type Code
Novant Health Granite Quarry Internal Medicine & Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 111 S SALISBURY GQ AVE
City SALISBURY
State NC
Zip Code 28146-8150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811473028 Heather Marie Amaral Nurse Practitioner 111 S Salisbury Gq Ave, Salisbury, NC 28146 2018-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164071551 Rita Faye George Technician 306 Brookfield Circle, Salisbury, NC 28146 2019-09-09
1417166224 Tina Wyatt Counselor 1121 Old Concord Rd Ste 23, Salisbury, NC 28146 2007-05-21
1730230889 Alan Ray Lyerly Dentist 5980 Us Hwy# 52, Salisbury, NC 28146 2007-01-16
1740331800 Matthew Scott Lyerly Dentist 5980 Us Hwy. # 52, Salisbury, NC 28146 2007-01-16
1376624403 Visionworks Inc Eyewear Supplier (Equipment, not the service) 223 Faith Road, Space I, Salisbury, NC 28146 2006-10-17
1417182114 Norman Deon Hough Registered Nurse 6770 Faith Rd, Salisbury, NC 28146-0379 2009-05-25
1770911893 Travis Alligood Massage Therapist 2125 Old Concord Rd, Salisbury, NC 28146-1328 2013-10-29
1013055458 Rowan Vocational Opportunities Day Training, Developmentally Disabled Services 2728 Old Concord Rd, Salisbury, NC 28146-1338 2007-02-01
1669698197 Rowan Vocational Opportunities Day Training, Developmentally Disabled Services 2728 Old Concord Rd, Salisbury, NC 28146-1338 2007-04-17
1164506879 Heritage Center, LLC Assisted Living Facility 2809 Old Concord Rd, Salisbury, NC 28146-1339 2006-10-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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1699375378 Coastal Wellness Recovery Family Medicine 820 E Main St Unit 3, Salisbury, MD 21804-5025 2020-10-30
1053918847 Katherine Susan Dennis Family Medicine 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 2020-10-05
1841839453 Cabarrus Rowan Community Health Center, Inc Family Medicine 226 N Long St, Salisbury, NC 28144-5049 2019-12-30
1952812794 Atlantic Recovery, LLC Family Medicine 547 Riverside Dr Unit S, Salisbury, MD 21801-5369 2017-10-19
1477063386 Corelife of Delmarva LLC Family Medicine 200 E Vine St Ste B, Salisbury, MD 21804-5531 2017-10-05
1336481951 Charlotte A. Watts Family Medicine 231 Middle Blvd, Salisbury, MD 21801-6213 2013-03-21
1538448808 Shu-chai Willy Lin Family Medicine 1402 Home Pl, Salisbury, MD 21804-9302 2011-08-04
1932498227 Medical Alliance Group, Inc Family Medicine 206 Churchill Dr, Salisbury, NC 28144-8307 2011-04-07
1609180926 Genesis Eldercare Physician Services LLC Family Medicine 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 2010-07-28
1659514271 Hilda Imelio Houlihan Family Medicine 1318 Toadvine Rd, Salisbury, MD 21804-9245 2009-04-13
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Competitor

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City SALISBURY
Zip Code 28146

Improve Information

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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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