NOVANT MEDICAL GROUP, INC (NPI# 1184055667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184055667 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH IRONWOOD FAMILY MEDICINE |
| Practice Address |
501 Hickory Branch Road Greensboro NC 27409 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043847606 |
| Practice Fax Number | 3362777722 |
| Mailing Telephone | 7043847606 |
| Mailing Fax Number | 3362777722 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Authorized Official Name | GEOFFREY KEITH 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 Ironwood 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 |
501 HICKORY BRANCH ROAD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| 1144401902 | Melinda Carol Wekony | Nurse Practitioner | 3306 Edgefield Rd, Greensboro, NC 27409 | 2007-11-21 |
| Find all providers in zip 27409 | ||||
| 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 |
|---|---|---|---|---|
| 1467014233 | Shea Nicole Church | Family Medicine | 5710 W Gate City Blvd # 1, Greensboro, NC 27407-7061 | 2019-07-02 |
| 1487116968 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 3711 Elmsley St Ste 101, Greensboro, NC 27406-7039 | 2019-04-03 |
| 1104315654 | Richter Family Medicine and Wellness | Family Medicine | 5500 W Friendly Ave Ste 201, Greensboro, NC 27410-4368 | 2018-05-09 |
| 1588177315 | Medexpress Urgent Care North Carolina, P.C. | Family Medicine | 4100 Beechwood Dr, Greensboro, NC 27410-8117 | 2017-11-15 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1528412483 | Taye Tolcha Gonfa | Family Medicine | 1125 N. Church Street, Greensboro, NC 27401 | 2016-04-18 |
| 1962889592 | Alvin Caldwell Powell Jr. | Family Medicine | 1200 N Elm St # 3509, Greensboro, NC 27401 | 2015-05-04 |
| 1518398098 | Novant Medical Group, Inc | Family Medicine | 6316 Old Oak Ridge Rd, Suite E, Greensboro, NC 27410-9940 | 2013-12-09 |
| 1861731192 | Alice Ingram | Family Medicine | 1301 W Wendover Ave Ste A, Greensboro, NC 27408-8123 | 2013-02-06 |
| 1427311661 | John Francis Greene IIi | Family Medicine | 100 N. Greene St., Greensboro, NC 27401 | 2012-06-22 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
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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.