NOVANT MEDICAL GROUP, INC (NPI# 1144514662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144514662 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH KANNAPOLIS FAMILY MEDICINE |
| Practice Address |
1035 Dale Earnhardt Blvd Kannapolis NC 28083-4477 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161886 |
| Practice Fax Number | 7043161887 |
| Mailing Telephone | 7043847840 |
| Mailing Fax Number | 7043847830 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2015-03-11 |
| 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 |
| Other Name | Type Code |
|---|---|
| Novant Health Kannapolis Family Medicine | 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 |
1035 DALE EARNHARDT BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418331 | Lester G Brown | Family Medicine | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2005-09-23 |
| 1033776240 | Heather Ross Thomas | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2019-05-22 |
| 1063910974 | Samantha Price | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2018-01-25 |
| 1629447875 | Amanda Furr Upchurch | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2015-09-17 |
| 1871981506 | Victoria Welch | Physician Assistant | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2015-01-05 |
| 1851635460 | Novant Medical Group, Inc | Orthopaedic Surgery | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2012-11-20 |
| 1215209820 | Rowan Diagnostic Clinic | Allergy & Immunology | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2012-01-30 |
| 1962648873 | Phytcare LLC | Physical Therapist | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2008-12-23 |
| 1285846865 | Matrix Occupational Health Inc. D/b/a Nextcare Urgent Care | Clinic/Center | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2007-05-04 |
| 1639193196 | Christopher J Caggiano Sr. | Physician Assistant | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2006-07-27 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| 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 |
|---|---|---|---|---|
| 1811551039 | Brian Garland | Family Medicine | 4949 Professional Park Dr Ste 101, Kannapolis, NC 28081-8638 | 2019-04-23 |
| 1912427923 | Kyle C Levitt | Family Medicine | 4949 Professional Park Dr Ste 100, Kannapolis, NC 28081-8637 | 2017-06-21 |
| 1649539792 | Care Plus Urgent Care & Medical Services | Family Medicine | 2498 Wonder Dr, Kannapolis, NC 28083-6427 | 2012-05-10 |
| 1437329539 | Earl Eugene Correll | Family Medicine | 1603 Eastwood Dr, Kannapolis, NC 28083-6027 | 2008-03-04 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1467533257 | S. Cannon Medical P.a. | Family Medicine | 2402 S. Cannon Blvd., Kannapolis, NC 28083 | 2006-10-18 |
| 1104907997 | James Matthew Peckinpaugh | Family Medicine | 2402 South Cannon Blvd, Kannapolis, NC 28083-6910 | 2006-10-18 |
| 1134155393 | Gregory J Oleksy | Family Medicine | 4949 Professional Park Drive, Suite 101, Kannapolis, NC 28081-8638 | 2006-06-22 |
| 1063400844 | James Shepherd | Family Medicine | 4949 Professional Park Dr, Ste 101, Kannapolis, NC 28081-8637 | 2005-10-06 |
| 1164418331 | Lester G Brown | Family Medicine | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2005-09-23 |
| Find all providers in KANNAPOLIS | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
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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.