NOVANT MEDICAL GROUP, INC (NPI# 1386024214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386024214 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH PEDIATRIC CARDIOLOGY THOMASVILLE |
| Practice Address |
211 Old Lexington Rd Suite 1 Thomasville NC 27360-3428 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043847606 |
| Practice Fax Number | 3362777722 |
| Mailing Telephone | 7043847606 |
| Mailing Fax Number | 3362777722 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Pediatric Cardiology Thomasville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 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 |
211 OLD LEXINGTON RD SUITE 1 |
| City | THOMASVILLE |
| State | NC |
| Zip Code | 27360-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260324 | Asif Wahid | Internal Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2005-10-25 |
| 1548803943 | Casey Nicholas Jones | Physician Assistant | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2019-10-18 |
| 1407327364 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2018-12-17 |
| 1871045351 | Elizabeth Ann Duffy | Nurse Practitioner | 211 Old Lexington Rd, Thomasville, NC 27360 | 2016-10-31 |
| 1316491517 | Alyssa Pugh | Speech-Language Pathologist | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-08-05 |
| 1861856643 | Kevin Ozimek | Specialist/Technologist | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-04-07 |
| 1912360330 | Colton Lawrence Wood | Family Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-04-02 |
| 1326404369 | Marsha Hege Essick | Speech-Language Pathologist | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-01-06 |
| 1356720163 | Jonathan Mark Adams | Physician Assistant | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2015-05-26 |
| 1801207238 | Patrick James King | Family Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994309 | Jazmin Arielle Cromartie | Dentist | 1235 Davidson Community College Rd, Thomasville, NC 27360 | 2020-05-28 |
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1801340252 | Hospitality Home Care, Inc | Home Health | 508 National Highway, #320, Thomasville, NC 27360 | 2016-08-14 |
| 1629472568 | East Carolina University School of Dental Medicine-davidson | Dentist | 1235 Dccc Road, Thomasville, NC 27360 | 2014-10-21 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1740511989 | Cornerstone Health Care LLC | Podiatrist | 211 Old Lexington Road, Thomasville, NC 27360 | 2010-01-28 |
| 1760695472 | Susan Hunter Squires | Counselor | 3954 North Nc Hwy 109, Ledford Middle School School Counselor, Thomasville, NC 27360 | 2007-05-08 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in zip 27360 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912354374 | Carolina Children's Heart Specialists | Pediatrics | 1018 W H Smith Boulevard, Greenville, NC 27834 | 2016-05-16 |
| 1215317060 | Forsyth Memorial Hospital, Inc | Pediatrics | 1941 New Garden Road, Suite 216, Greensboro, NC 27410 | 2015-06-08 |
| 1487903423 | Private Diagnostic Clinic, Pllc | Pediatrics | 540 New Waverly Place, Ste.101, Cary, NC 27518-7422 | 2012-09-06 |
| 1548525470 | Bailliard Henry Pediatric Cardiology | Pediatrics | 4301 Lake Boone Trail, Suite 300, Raleigh, NC 27607 | 2012-07-06 |
| 1275858698 | Carolinas Physicians Network, Inc. | Pediatrics | 705 Griffith Street, Suite 100, Davidson, NC 28036-9305 | 2010-03-29 |
| 1073838496 | Carolinas Physicians Network, Inc. | Pediatrics | 6030 West Highway 74, Suite F, Indian Trail, NC 28079-3469 | 2010-03-29 |
| 1952626376 | Carolinas Physicians Network, Inc. | Pediatrics | 14214 Ballantyne Lake Road, Suite 150, Charlotte, NC 28277-3373 | 2010-03-29 |
| 1902121320 | Carolinas Physicians Network Inc | Pediatrics | 16623 Birkdale Cmns Pkwy Ste 110, Huntersville, NC 28078-5622 | 2010-03-29 |
| 1801023494 | Patsy W Park | Pediatrics | 1545 Orchard Villas Ave Ste 110, Apex, NC 27502-4339 | 2009-06-22 |
| 1114152469 | Frances Chen Travelli | Pediatrics | 1718 E 4th St Ste 605, Charlotte, NC 28204-3282 | 2009-05-15 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 27360 |
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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.