NOVANT MEDICAL GROUP INC (NPI# 1407403710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407403710 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH NEUROLOGY AND SLEEP |
| Practice Address |
3515 W Market St Ste 210 Greensboro NC 27403-4442 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366605460 |
| Practice Fax Number | 3366605497 |
| Mailing Telephone | 3366605460 |
| Mailing Fax Number | 3366605497 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Neurology and Sleep | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
| 1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 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 |
3515 W MARKET ST STE 210 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1649500158 | Olukayode Oluseun Onasanya | Psychiatry & Neurology | 3820 N Elm St Ste 104, Greensboro, NC 27455-2881 | 2010-01-05 |
| 1174543805 | Richard A. Sater | Psychiatry & Neurology | 912 3rd St Ste 101, Greensboro, NC 27405 | 2006-07-19 |
| 1811943343 | Saima Athar | Psychiatry & Neurology | 912 3rd St, Suite 101, Greensboro, NC 27405-6967 | 2006-05-26 |
| 1043219884 | Eliot Julian Lewit | Psychiatry & Neurology | 2721 Horse Pen Creek Rd, Ste 104, Greensboro, NC 27410-8387 | 2005-07-14 |
| 1508006776 | Donika Patel | Psychiatry & Neurology | 301 E Wendover Ave, Suite 211, Greensboro, NC 27401-1230 | 2009-03-02 |
| 1740441286 | Adam R. Jaffe | Psychiatry & Neurology | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2008-06-18 |
| 1528257219 | Charles R. Stewart | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-10-18 |
| 1508056680 | Yijun Yan | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-07-26 |
| 1316147150 | Karen Marghanita Aquino | Psychiatry & Neurology | 301 E Wendover Ave, Suite 310, Greensboro, NC 27401-1230 | 2007-07-19 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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.