NOVANT MEDICAL GROUP, INC. (NPI# 1346519451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346519451 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH ARBORETUM FAMILY AND SPORTS MEDICINE |
| Practice Address |
7903 Providence Rd Suite 100 Charlotte NC 28277-9720 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164460 |
| Practice Fax Number | 7043164466 |
| Mailing Telephone | 7043164460 |
| Mailing Fax Number | 7043164466 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | MR. GEOFFREY GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Arboretum Family and Sports Medicine | 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 |
7903 PROVIDENCE RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-9720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445233 | Jonathan Mark Collins | Family Medicine | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2006-04-07 |
| 1891234084 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2017-02-21 |
| 1922542281 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2016-12-06 |
| 1790142735 | Jaime Pimental | Nurse Practitioner | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2016-01-21 |
| 1801936356 | Ear Rx, Inc. | Hearing Instrument Specialist | 7903 Providence Rd, Ste 160, Charlotte, NC 28277-9720 | 2007-02-07 |
| 1578597555 | Senior Health Connection | Family Medicine | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2006-07-10 |
| 1255364535 | Mecklenburg Medical Group | Dermatology | 7903 Providence Rd, Suite 100, Charlotte, NC 28277-9720 | 2006-07-09 |
| 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 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 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 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist 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 healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1871527812 | Garath Maenpaa | Internal Medicine | 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269-1360 | 2006-07-10 |
| 1831639509 | Carolinas Physicians Network Inc | Internal Medicine | 8840 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6718 | 2017-03-01 |
| 1376893057 | Carolinas Medical Center | Internal Medicine | 1025 Morehead Medical Dr, Ste 200c, Charlotte, NC 28204-2963 | 2012-09-11 |
| 1386991297 | Carolinas Physicians Network Inc | Internal Medicine | 14214 Ballantyne Lake Rd, Suite 150b, Charlotte, NC 28277-3372 | 2012-08-09 |
| 1053668012 | Carolinas Physicians Network Inc | Internal Medicine | 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269-1360 | 2012-08-09 |
| 1639425796 | Carolinas Physicians Network Inc | Internal Medicine | 3030 Randolph Rd, Ste 105, Charlotte, NC 28211-1368 | 2012-07-26 |
| 1073754131 | Carolinas Medical Center | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043774359 | John Conor Hoffman | Internal Medicine | 3535 E 10th St Apt 532, Greenville, NC 27858-0823 | 2019-01-31 |
| 1508117185 | Campbell University Health Center, LLC | Internal Medicine | 129 Tt Lanier St, Buies Creek, NC 27506 | 2012-09-24 |
| 1164945028 | Tavarus Ferguson | Internal Medicine | One University Heights, Justice Center Cpo #2600, Asheville, NC 28804 | 2017-07-24 |
| 1457808271 | Carolinas Physicians Network Inc | Internal Medicine | 447 Mcalister Rd, Ste 3400, Lincolnton, NC 28092-4114 | 2016-09-09 |
| 1902223266 | Andrew Kubinski | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2014-03-25 |
| 1760810501 | Charlotte-mecklenburg Hospital Authority | Internal Medicine | 9625 Northcross Center Ct, Suite 102, Huntersville, NC 28078-7348 | 2013-10-14 |
| 1326472812 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2013-09-03 |
| 1487091013 | Carolinas Physicians Network Inc | Internal Medicine | 5651 Poplar Tent Rd, Suite 200, Concord, NC 28027-7530 | 2013-05-22 |
| 1790024974 | Carolinas Physicians Network Inc | Internal Medicine | 9726 Sam Furr Rd, Huntersville, NC 28078-8218 | 2013-02-07 |
| 1427309608 | Carolinas Physicians Network Inc | Internal Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2012-09-27 |
| 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.