NOVANT MEDICAL GROUP, INC (NPI# 1205493251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205493251 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Practice Address |
10030 Gilead Rd Huntersville NC 28078-7545 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164000 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Surgical Wellness | 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 |
10030 GILEAD RD |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795399 | George V Irons Jr. | Internal Medicine | 10030 Gilead Rd, Ste 310, Huntersville, NC 28078-7545 | 2005-07-26 |
| 1750904322 | Amy Elizabeth Price | Nurse Practitioner | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2020-05-18 |
| 1013565878 | Nathan Jarvis | Occupational Therapist | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-26 |
| 1326694365 | The Presbyterian Hospital | General Acute Care Hospital | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-15 |
| 1699332114 | Steven Andronovich | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2019-05-20 |
| 1407419765 | Novant Medical Group, Inc. | Internal Medicine | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-04-22 |
| 1477029486 | Dustin Carpenter | Nurse Anesthetist, Certified Registered | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-10-17 |
| 1861976417 | Katelyn Elizabeth Milam | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2018-09-19 |
| 1265929400 | Novant Medical Group, Inc | Obstetrics & Gynecology | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-04-13 |
| 1679093199 | Matthew Nacpil | Hospitalist | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487074944 | Laura Heidelberg | Surgery | 14330 Oakhill Park Ln Ste 140, Huntersville, NC 28078-3480 | 2014-04-23 |
| 1336316751 | Lori Filichia Gentile | Surgery | 9735 Kincey Ave Ste 205, Huntersville, NC 28078-9120 | 2008-05-14 |
| 1497961155 | Martin J Carignan | Surgery | 14330 Oakhill Park Ln Ste 125, Huntersville, NC 28078-3481 | 2007-05-16 |
| 1578682993 | Daniel James Krochmal | Surgery | 11208 Statesville Rd, Ste 300, Huntersville, NC 28078-7635 | 2007-03-28 |
| 1730145947 | David Langdon Walrath | Surgery | 10215 Hickorywood Hill Ave, Suite B, Huntersville, NC 28078-3307 | 2006-04-25 |
| 1912983693 | Rohit Ike Bhasin | Surgery | 10030 Gilead Rd., Ste. 300, Surgical Specialists of Charlotte, P.a., Huntersville, NC 28078 | 2005-12-15 |
| 1679187173 | Novant Medical Group, Inc. | Surgery | 9735 Kincey Ave Ste 205, Huntersville, NC 28078-9120 | 2020-09-02 |
| 1295390086 | Novant Medical Group, Inc. | Surgery | 14330 Oakhill Park Ln Ste 140, Huntersville, NC 28078-3480 | 2019-05-07 |
| 1265956502 | Novant Medical Group, Inc | Surgery | 9735 Kincey Ave Ste 205, Huntersville, NC 28078-9120 | 2017-07-28 |
| 1720131048 | Aaron Eli Bergsman | Surgery | 10030 Gilead Rd, Ste. 300, Huntersville, NC 28078-7545 | 2007-01-19 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.