NOVANT MEDICAL GROUP, INC. (NPI# 1275541765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275541765 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | OAK ISLAND MEDICAL CENTER |
| Practice Address |
8715 E Oak Island Dr Oak Island NC 28465-8367 |
| Practice Telephone | 9102783316 |
| Practice Fax Number | 9102781415 |
| Mailing Telephone | 9102783316 |
| Mailing Fax Number | 9102781415 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DINESH S. PAI (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043849104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5904326 | 05 | |
| NC | BCBS NC | 018J2 | 01 |
| Other Name | Type Code |
|---|---|
| Oak Island Medical Center | Doing Business As Name - Organization |
| 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 |
| 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 |
8715 E OAK ISLAND DR |
| City | OAK ISLAND |
| State | NC |
| Zip Code | 28465-8367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947714 | Sidney Ray Fortney | Internal Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2005-10-27 |
| 1720458615 | Jonathan Blake Clarke | Counselor | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2015-10-05 |
| 1891841904 | Marilyn E. Ain | Psychologist | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2007-01-25 |
| 1548347040 | Morgan Arvidson Todd | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2006-11-01 |
| 1518074103 | Presbyterian Regional Healthcare Corp. | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2006-08-23 |
| 1922099035 | Peter David Almirall | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2005-10-31 |
| 1316937618 | Oak Island Medical Center, Pa | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285032326 | Chris Phillips | Occupational Therapy Assistant | 4016 E Beach Dr, Oak Island, NC 28465 | 2014-12-05 |
| 1366597874 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 7917 E Oak Island Dr, Oak Island, NC 28465 | 2007-01-24 |
| 1912093253 | Island Healing Chiropractic Pa | Chiropractor | 8809 East Oak Island Drive, Oak Island, NC 28465 | 2006-10-05 |
| 1730275058 | Karen A Fairfield | Chiropractor | 8809 East Oak Island Drive, Oak Island, NC 28465 | 2006-10-05 |
| 1700184843 | Vicki J Carlson | Registered Nurse | 308 Ne 54th St, Oak Island, NC 28465-4905 | 2011-03-13 |
| 1295715076 | Long Beach Family Medical Center | Legal Medicine | 4700 E Oak Island Dr, Suite F, Oak Island, NC 28465-5200 | 2006-01-18 |
| 1538107198 | Town of Oak Island | Ambulance | 4601 E Oak Island Dr, Oak Island, NC 28465-5211 | 2006-06-03 |
| 1235405358 | J. Arthur Dosher Memorial Hospital | Clinic/Center | 4700 E Oak Island Dr, Oak Island, NC 28465-5257 | 2012-03-23 |
| 1902188964 | Long Beach Family Medical Center | Case Management | 4700 E Oak Island Dr, Suite F, Oak Island, NC 28465-5257 | 2011-09-15 |
| 1093037731 | Melissa Norma Cockrell | Nurse Practitioner | 4700 E Oak Island Dr, Oak Island, NC 28465-5257 | 2010-02-23 |
| Find all providers in zip 28465 | ||||
| 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 |
|---|---|---|---|---|
| 1164866588 | Ryan Christopher Tighe | Family Medicine | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 | 2013-04-29 |
| 1538468129 | Joyce Pilar Johnson | Family Medicine | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 | 2011-03-22 |
| 1942437256 | Kerry L Partis | Family Medicine | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 | 2009-06-12 |
| 1194874420 | Lorraine M Gauthier | Family Medicine | 4700 E Oak Island Dr, Oak Island, NC 28465-5257 | 2007-01-09 |
| 1548347040 | Morgan Arvidson Todd | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2006-11-01 |
| 1518074103 | Presbyterian Regional Healthcare Corp. | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2006-08-23 |
| 1922099035 | Peter David Almirall | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2005-10-31 |
| 1316937618 | Oak Island Medical Center, Pa | Family Medicine | 8715 E Oak Island Dr, Oak Island, NC 28465-8367 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | OAK ISLAND |
| Zip Code | 28465 |
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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.