NOVANT MEDICAL GROUP INC. (NPI# 1255825410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255825410 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC. |
| Other Organization Name | NOVANT HEALTH BALLANTYNE FAMILY AND SPORTS MEDICINE |
| Practice Address |
15033 Balloncroft Parkway Suite 200 Charlotte NC 28277 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043162920 |
| Mailing Telephone | 8442668268 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | SHALA DAVIS (MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Ballantyne Family and Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1750788659 | Novant Medical Group Inc. | Obstetrics & Gynecology | 301 Executive Park Blvd, Winston Salem, NC 27103-1505 | 2014-11-21 |
| 1093292997 | Novant Medical Group Inc. | Internal Medicine | 6316 Old Oak Ridge Rd Ste E, Greensboro, NC 27410-9940 | 2018-07-24 |
| 1710432976 | Novant Medical Group Inc. | Orthopaedic Surgery | 2337 Winterhaven Ln, Winston Salem, NC 27103-6792 | 2016-08-17 |
| 1346632676 | Novant Medical Group Inc. | Family Medicine | 490 Pineview Dr Ste A, Kernersville, NC 27284-3995 | 2015-02-24 |
| 1619398070 | Novant Medical Group Inc. | Internal Medicine | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2014-01-02 |
| 1457782849 | Novant Medical Group Inc. | Podiatrist | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2013-12-10 |
| 1437588506 | Novant Medical Group Inc. | Podiatrist | 3641 Westgate Center Cir, Suite A, Winston Salem, NC 27103-2936 | 2013-11-08 |
| 1134558752 | Novant Medical Group Inc. | Obstetrics & Gynecology | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2013-11-04 |
| 1346548898 | Novant Medical Group Inc. | Family Medicine | 8430 University Exec Park Dr Ste 685, Charlotte, NC 28262-1337 | 2011-03-08 |
| 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 |
15033 BALLONCROFT PARKWAY SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| 1720436439 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4908 Houston Field Court, Charlotte, NC 28277 | 2016-06-03 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986515 | Queens University of Charlotte | Family Medicine | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2020-03-10 |
| 1336680388 | Johnson C. Smith University | Family Medicine | 100 Beatties Ford Rd, Charlotte, NC 28216-5302 | 2017-03-10 |
| 1285868117 | Augustus Garland Parker Iv | Family Medicine | 5815 Blakeney Park Dr, Suite 200 B, Charlotte, NC 28277-5731 | 2009-05-06 |
| 1700046547 | Anthony Martin Jr. | Family Medicine | 2001 Vail Ave, Ste 400, Charlotte, NC 28207-1248 | 2008-06-16 |
| 1598970840 | Catherine Rainbow | Family Medicine | 14214 Ballantyne Lake Rd, Suite 150b, Charlotte, NC 28277-3372 | 2007-05-11 |
| 1336181452 | Novant Medical Group Inc | Family Medicine | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| 1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NOVANT MEDICAL GROUP INC..
| 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.