NOVANT MEDICAL GROUP, INC (NPI# 1164781845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164781845 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS |
| Practice Address |
7800 Stevens Mill Rd Suite 0 Matthews NC 28104-6111 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043169090 |
| Practice Fax Number | 7043169095 |
| Mailing Telephone | 7043169090 |
| Mailing Fax Number | 7043169095 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | GEOFFERY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847606 |
| 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 Pine Lake Family Physicians | 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 |
7800 STEVENS MILL RD SUITE 0 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28104-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038133 | Robert Anthony Baldinell | Behavior Technician | 4224 Weddington Matthews Rd, Wedding, NC 28104 | 2020-03-19 |
| 1740841972 | Jennifer Louise Lowder | Occupational Therapist | 3653 Huntington Drive, Matthews, NC 28104 | 2019-06-27 |
| 1669954608 | Novant Medical Group, Inc. | Family Medicine | 6488 Weddington-monroe, Wesley Chapel, NC 28104 | 2018-09-06 |
| 1427565704 | Hiren Patel D.m.d. II, Pa | Clinic/Center | 2925 Matthews Weddington Road, Suite 200, Matthews, NC 28104 | 2018-01-08 |
| 1073069274 | Amie Freeman | Pharmacist | 6300 Weddington-monroe Rd, Matthews, NC 28104 | 2016-08-28 |
| 1568819928 | Katelyn Koch | Behavioral Analyst | 4225 Weddington Matthews Road, Weddington, NC 28104 | 2016-05-16 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1407226137 | Ulla Svane Chiropractic Pllc | Clinic/Center | 13635 Providence Road, Weddington, NC 28104 | 2015-10-07 |
| 1699159392 | Anait Balasanyan | Dentist | 5922 Weddington-monroe Rd., Ste A-2, Wesley Chapel, NC 28104 | 2015-07-13 |
| 1780082461 | Balasanyan & Associates Pllc | Dentist | 5922 Weddington-monroe Rd, Suite A2, Wesley Chapel, NC 28104 | 2014-12-12 |
| Find all providers in zip 28104 | ||||
| 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 |
|---|---|---|---|---|
| 1306479837 | Advanced Regenerative Care of Charlotte, Pllc | Family Medicine | 10734b Monroe Rd, Matthews, NC 28105-8397 | 2020-02-12 |
| 1114370988 | Gapover Md, Pllc | Family Medicine | 5023 Weddington Matthews Rd, Matthews, NC 28104-9413 | 2016-07-18 |
| 1346529500 | Carolina Medicorp Enterprises,inc | Family Medicine | 9600 E Independence Blvd Ste 170, Matthews, NC 28105-4628 | 2011-08-05 |
| 1518144526 | Carolinas Physicians Network Inc | Family Medicine | 2407 Plantation Center Drive, Suite 102, Matthews, NC 28105-6614 | 2008-01-22 |
| 1235251828 | Makeecha Reed-crawford | Family Medicine | 9600 E Independence Blvd, Matthews, NC 28105-4628 | 2007-04-04 |
| 1689726655 | Choice Care Family Medical Center PC | Family Medicine | 2435 Plantation Center Drive, Suite 110, Matthews, NC 28105-5148 | 2007-01-18 |
| 1396772752 | Lou Ann Mcadams | Family Medicine | 113 N Ames St, Matthews, NC 28105-5639 | 2006-06-28 |
| 1134175227 | Virginia Reed Killoren | Family Medicine | 1332 Sea Mist Dr, Matthews, NC 28105 | 2006-05-26 |
| 1003801655 | Mark O Speight | Family Medicine | 1258 Mann Dr, Suite 100, Matthews, NC 28105-5547 | 2005-09-20 |
| 1144214974 | Compassionate Care LLC | Family Medicine | 201 West Main, Matthews, MO 63867 | 2005-09-08 |
| Find all providers in MATTHEWS | ||||
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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.