NOVANT MEDICAL GROUP, INC. (NPI# 1407419765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407419765 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Practice Address |
10030 Gilead Rd Huntersville NC 28078-7545 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164645 |
| Mailing Telephone | 7043164645 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Transitional Care & Infusion | 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 |
10030 GILEAD RD |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795399 | George V Irons Jr. | Internal Medicine | 10030 Gilead Rd, Ste 310, Huntersville, NC 28078-7545 | 2005-07-26 |
| 1750904322 | Amy Elizabeth Price | Nurse Practitioner | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2020-05-18 |
| 1013565878 | Nathan Jarvis | Occupational Therapist | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-26 |
| 1326694365 | The Presbyterian Hospital | General Acute Care Hospital | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-15 |
| 1205493251 | Novant Medical Group, Inc | Surgery | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-05-24 |
| 1699332114 | Steven Andronovich | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2019-05-20 |
| 1477029486 | Dustin Carpenter | Nurse Anesthetist, Certified Registered | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-10-17 |
| 1861976417 | Katelyn Elizabeth Milam | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2018-09-19 |
| 1265929400 | Novant Medical Group, Inc | Obstetrics & Gynecology | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-04-13 |
| 1679093199 | Matthew Nacpil | Hospitalist | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
| 1841669462 | Carolina Palliative Medicine & Supportive Care Pllc | Internal Medicine | 1112 Green Springs Rd, New Bern, NC 28560-6622 | 2015-09-24 |
| 1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
| 1366436735 | Nalin Mehta | Internal Medicine | 5003 Hospice Ln, Kannapolis, NC 28081-5784 | 2005-08-31 |
| 1447878764 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1689238594 | Hospice and Home Care of Alexander County Inc | Internal Medicine | 50 Lucy Echerd Ln, Taylorsville, NC 28681-3099 | 2019-04-25 |
| 1598328866 | Novant Medical Group, Inc. | Internal Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2019-04-22 |
| 1790258234 | Lower Cape Fear Hospice, Incorporated | Internal Medicine | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2019-01-08 |
| 1730655275 | Novant Medical Group, Inc. | Internal Medicine | 8201 Healthcare Loop, Charlotte, NC 28215-7072 | 2018-10-23 |
| 1053805127 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.