NOVANT MEDICAL GROUP. INC. (NPI# 1205473261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205473261 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP. INC. |
| Practice Address |
7130 Village Medical Cir Clemmons NC 27012-8004 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3368932420 |
| Practice Fax Number | 3368932431 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | SHALA DAVIS (RCS MANAGER) |
| Authorized Official Telephone | 7043167845 |
| 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 Village Point Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
| 1104396761 | Novant Medical Group. Inc. | Preventive Medicine | 9600 E. Independence Blvd, Matthews, NC 28105-4628 | 2018-11-27 |
| 1649816273 | Novant Medical Group. Inc. | Family Medicine | 903 Randolph St, Thomasville, NC 27360-5898 | 2019-11-19 |
| 1750924213 | Novant Medical Group. Inc. | Family Medicine | 16525 Holly Crest Ln Ste 150, Huntersville, NC 28078-4911 | 2019-10-28 |
| 1629611579 | Novant Medical Group. Inc. | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2019-10-23 |
| 1093369530 | Novant Medical Group. Inc. | Obstetrics & Gynecology | 2290 Remount Rd, Gastonia, NC 28054-4725 | 2019-08-01 |
| 1821551615 | Novant Medical Group. Inc. | Clinic/Center | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2019-04-09 |
| 1548726060 | Novant Medical Group. Inc. | Family Medicine | 165 Lowes Foods Dr, Lewisville, NC 27023-8258 | 2019-02-20 |
| 1669949285 | Novant Medical Group. Inc. | Family Medicine | 1977 Cotton Grove Rd, Lexington, NC 27292-5721 | 2018-11-01 |
| 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 |
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
7130 VILLAGE MEDICAL CIR |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346208113 | Travis Worth Howell | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012 | 2006-05-02 |
| 1518341866 | Sarah Hallett | Physician Assistant | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2015-07-16 |
| 1114332293 | Forsyth Memorial Hospital | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2014-06-26 |
| 1649605841 | Anna Collins Norman | Nurse Practitioner | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2013-09-06 |
| 1801114343 | Joshua Cole Mckinnon | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2010-05-07 |
| 1104066117 | Jennifer Niland Kerley | Physician Assistant | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2009-03-03 |
| 1578511911 | David Ethan Lee | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1518141407 | Clemmons Urgent and Primary Care, Pa | Family Medicine | 2245 Lewisville Clemmons Rd Ste C, Clemmons, NC 27012-7461 | 2007-12-27 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1346208113 | Travis Worth Howell | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012 | 2006-05-02 |
| 1629064191 | Arie Mantin | Family Medicine | 2245 Lewisville Clemmons Rd, Clemmons, NC 27012-7461 | 2005-09-21 |
| 1710547369 | Novant Medical Group, Inc. | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2019-06-17 |
| 1629506449 | Novant Medical Group, Inc | Family Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2017-05-24 |
| 1114332293 | Forsyth Memorial Hospital | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2014-06-26 |
| 1972915510 | Piedmont Community Physicians PC | Family Medicine | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2014-06-02 |
| 1386056067 | David M Villanueva | Family Medicine | 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2014-05-29 |
| 1649512922 | Carolina Medicorp Enterprises, Inc | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2013-03-25 |
| Find all providers in CLEMMONS | ||||
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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.