NOVANT MEDICAL GROUP, INC.


Address: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403
Phone: 7043165280

NOVANT MEDICAL GROUP, INC. (NPI# 1225531445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225531445
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Other Organization Name NOVANT HEALTH PEDIATRIC PULMONOLOGY
Practice Address 1401 Matthews Township Pkwy Ste 100
Matthews
NC 28105-5403
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043165280
Enumeration Date 2018-03-14
Last Update Date 2018-03-14
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043847840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Pediatric Pulmonology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033723531 Novant Medical Group, Inc. Surgery 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 2020-09-02
1346868155 Novant Medical Group, Inc. Family Medicine 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 2020-07-08
1861019150 Novant Medical Group, Inc. Family Medicine 2701 Statesville Ave., Charlotte, NC 28206 2020-07-02
1932725124 Novant Medical Group, Inc. Internal Medicine 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 2020-06-23
1922645571 Novant Medical Group, Inc. Surgery 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 2019-12-03
1437706256 Novant Medical Group, Inc. Physical Therapist 11202 Harris Rd, Huntersville, NC 28078-7633 2019-08-26
1336795137 Novant Medical Group, Inc. Surgery 3515 W Market St Ste 310, Greensboro, NC 27403-4438 2019-08-16
1104472125 Novant Medical Group, Inc. Neurological Surgery 3515 W Market St Ste 210, Greensboro, NC 27403-4442 2019-08-15
1649824954 Novant Medical Group, Inc. Family Medicine 6555 Kee Lane, Harrisburg, NC 28075-7463 2019-07-25
1285287185 Novant Medical Group, Inc. Lactation Consultant, Non-RN 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 2019-07-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVANT MEDICAL GROUP, INC. 200 Hawthorne Ln, Charlotte, NC 28204-2515

Office Location

Street Address 1401 MATTHEWS TOWNSHIP PKWY STE 100
City MATTHEWS
State NC
Zip Code 28105-5403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003235292 Scott Warren Thomas Pediatrics 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 2014-04-15
1063051340 Novant Medical Group, Inc. Pediatrics 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 2020-01-03
1144631912 Meredith Calcina Davitte Pediatrics 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 2014-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917407 Lauren Deasy Blackshaw Counselor 1163 Sam Newell Rd, Matthews, NC 28105 2020-03-13
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1326515768 Holly Harvey Heddleson Nurse Practitioner 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 2018-10-24
1396241030 Erickson Health Medical Group of North Carolina, PC Internal Medicine 2030 Windsor Run Lane, Matthews, NC 28105 2018-04-02
1811406994 Lice Clinics of America of The Carolinas Technician, Other 3042 Suite C Senna Dr, Matthews, NC 28105 2017-09-21
1376065003 Carillon Assisted Living of Mint Hill, LLC Custodial Care Facility 5601 Margaret Wallace Road, Matthews, NC 28105 2017-07-14
1568906055 London Young Physical Therapy Assistant 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 2016-12-19
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1275993149 Kristi Dougan Nurse Practitioner 434 N Trade St Ste 104, Matthews, NC 28105 2016-03-04
1205219896 Kalyani Vellanki Starr Dentist 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 2015-07-01
Find all providers in zip 28105

Taxonomy Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407409543 Wakemed Specialists Group, LLC Pediatrics 104 Medspring Dr, Clayton, NC 27520-9687 2019-07-18
1023519543 Julie Renee Kerth Pediatrics Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157-0001 2018-02-21
1649455072 Timothy John Vece Pediatrics 450 Macnider, Cb # 7217, 333 S. Columbia St, Chapel Hill, NC 27599-7217 2008-01-03
1174531602 Steven M Julius Pediatrics 11 Vanderbilt Parkway, Asheville, NC 28803 2006-08-03
1669032231 Novant Medical Group, Inc. Pediatrics 6331 Carmel Rd Ste 102, Charlotte, NC 28226-8286 2019-06-17
1295392322 Novant Medical Group Inc Pediatrics 5370 Ridge Rd, Charlotte, NC 28269-2298 2019-05-23
1417477977 Novant Medical Group, Inc Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2017-06-26
1821475468 Pallav Halani Pediatrics 333 S Columbia St, Chapel Hill, NC 27599 2015-05-04
1144624206 Carolinas Physicians Network Inc Pediatrics 929 N 2nd St, Ste 205, Albemarle, NC 28001-3363 2014-10-20
1962839068 The Charlotte-mecklenburg Hospital Authority Pediatrics 9625 Northcross Center Ct, Ste 102d, Huntersville, NC 28078-7348 2013-10-03
Find all providers with the same taxonomy

Competitor

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City MATTHEWS
Zip Code 28105

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Dataset Information

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.

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