NOVANT MEDICAL GROUP INC (NPI# 1164826798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164826798 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH INFECTIOUS DISEASE SPECIALISTS |
| Practice Address |
911 W Henderson St Ste 120 Salisbury NC 28144-2700 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7046380336 |
| Practice Fax Number | 7046380374 |
| Mailing Telephone | (704) 384-7840 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MR. GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Infectious Disease Specialists | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
911 W HENDERSON ST STE 120 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387004 | Abayomi Aderemi Agbebi | Internal Medicine | 911 W Henderson St Ste 120, Salisbury, NC 28144-2700 | 2007-05-18 |
| 1154890234 | Megan Bost Johnston | Nurse Practitioner | 911 W Henderson St Ste 120, Salisbury, NC 28144 | 2018-11-18 |
| 1851885727 | Caroline Sifford Waller | Nurse Practitioner | 911 W Henderson St Ste 120, Salisbury, NC 28144 | 2018-06-14 |
| 1912459520 | Courtney Winchester Johnson | Nurse Practitioner | 911 W Henderson St Ste 120, Salisbury, NC 28144 | 2016-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1639387004 | Abayomi Aderemi Agbebi | Internal Medicine | 911 W Henderson St Ste 120, Salisbury, NC 28144-2700 | 2007-05-18 |
| 1992320840 | Tidalhealth Specialty Care, LLC | Internal Medicine | 560 Riverside Dr Ste A106, Salisbury, MD 21801-4702 | 2020-06-16 |
| 1538121363 | Camille Y Khawand Pa | Internal Medicine | 105 Pine Bluff Rd, Suite 7a, Salisbury, MD 21801-7160 | 2006-04-05 |
| 1922088566 | Camille Y Khawand | Internal Medicine | 105 Pine Bluff Rd, Suite 7a, Salisbury, MD 21801-7160 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013419316 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Parkway Ste 280, Matthews, NC 28105-5331 | 2018-03-02 |
| 1023518909 | Stephanie Nicole Dixon | Internal Medicine | 301 E Wendover Ave Ste 111, Greensboro, NC 27401-1209 | 2018-02-16 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1003202268 | Heather Root | Internal Medicine | 2118b Bioinformatics Building 130 Mason Farm Rd Cb 7030, Chapel Hill, NC 27599 | 2015-04-14 |
| 1689064396 | Michael Sciaudone | Internal Medicine | 130 Mason Farm Rd Cb 7030, 2115 Bioinformatics Building, Chapel Hill, NC 27599 | 2015-02-02 |
| 1790198596 | Robert C Pease | Internal Medicine | William B Aycock Bldg 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 | 2014-06-09 |
| 1447698089 | Emily Jane Ciccone | Internal Medicine | 230 Macnider Hl, Cb#7593, Chapel Hill, NC 27599-0001 | 2013-06-05 |
| 1255694626 | Carlos A. Duchesne | Internal Medicine | 8505 Waterchase Ct, Raleigh, NC 27613-6273 | 2012-06-20 |
| 1619243037 | Nicholas Andrew Turner | Internal Medicine | 40 Duke Medicine Cir # 1k, Durham, NC 27710-6155 | 2012-03-29 |
| 1780977215 | Erin Whitney Barnes | Internal Medicine | Section of Infectious Disease, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-05-17 |
| Find all providers with the same taxonomy | ||||
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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.