NOVANT MEDICAL GROUP, INC. (NPI# 1316363922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316363922 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH PRIMARY CARE EAST ROWAN |
| Practice Address |
316 W Main St Rockwell NC 28138-8471 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7042791046 |
| Mailing Telephone | 7042791046 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7042791046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Primary Care East Rowan | 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 |
316 W MAIN ST |
| City | ROCKWELL |
| State | NC |
| Zip Code | 28138-8471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157327 | Lee Anne Broadway Frye | Nurse Practitioner | 316 W Main St, Rockwell, NC 28138-8471 | 2016-08-02 |
| 1225469679 | Rowan Diagnostic Clinic, Pa | Family Medicine | 316 W Main St, Rockwell, NC 28138-8471 | 2013-12-11 |
| 1578677712 | Chotiner Family Healthcare, Pa | Family Medicine | 316 W Main St, Rockwell, NC 28138-8471 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447536792 | David Andrew Maxwell | Psychologist | 110a East Main Street, Rockwell, NC 28138 | 2011-11-01 |
| 1518240183 | Keri Privette Wetherington | Pharmacist | 8765 Nc Hwy 52, Rockwell, NC 28138 | 2011-09-21 |
| 1801199120 | Deresha M. Simmons | Counselor | 1190 Safe Haven Lane, Rockwell, NC 28138 | 2010-12-08 |
| 1710294012 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Road, Nazareth Children's Home, Rockwell, NC 28138 | 2010-09-08 |
| 1568622249 | Nazareth Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 7920 Red Road, Rockwell, NC 28138 | 2008-06-16 |
| 1407940042 | Cresent Pharmacy | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2006-10-03 |
| 1922583111 | Anya Loraine Dobbs | Counselor | 110 E. Main St, Rockwell, NC 28138 | 2018-10-03 |
| 1497207815 | Shelly Bingham Batts | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2016-11-02 |
| 1417370818 | Ascend Psychological Services, Pllc | Counselor | 110a East Main Street, Rockwell, NC 28138 | 2014-01-22 |
| 1730482894 | Crescent Pharmacy of Rowan Inc. | Pharmacy | 314 E Main St, Rockwell, NC 28138 | 2010-12-13 |
| Find all providers in zip 28138 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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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.