NOVANT MEDICAL GROUP, INC. (NPI# 1427397504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427397504 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH SALEM SURGICAL ASSOCIATES |
| Practice Address |
1710 Kernersville Medical Pkwy Suite 202 Kernersville NC 27284-7146 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3365644873 |
| Practice Fax Number | 3369922170 |
| Mailing Telephone | 3365644873 |
| Mailing Fax Number | 3369922170 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043849094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Salem Surgical Associates | 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 |
1710 KERNERSVILLE MEDICAL PKWY SUITE 202 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780615799 | James Dasher | Surgery | 1710 Kernersville Medical Pkwy, Suite 220, Kernersville, NC 27284-7155 | 2006-07-06 |
| 1851843825 | Rayne Salyers | Dietitian, Registered | 1710 Kernersville Medical Pkwy, Suite 101, Kernersville, NC 27284-7155 | 2016-10-26 |
| 1659821056 | Shanon Armfield | Dietitian, Registered | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7155 | 2016-10-10 |
| 1548627052 | Rebecca Jones | Dietitian, Registered | 1710 Kernersville Medical Pkwy, Suite 101, Kernersville, NC 27284-7155 | 2016-01-28 |
| 1295113926 | Amanda Smith | Dietitian, Registered | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7155 | 2015-05-14 |
| 1578972881 | Novant Medical Group Inc | Internal Medicine | 1710 Kernersville Medical Pkwy, Suite 220, Kernersville, NC 27284-7155 | 2014-08-12 |
| 1013347574 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1710 Kernersville Medical Pkwy, Suite 116, Kernersville, NC 27284-7155 | 2013-11-20 |
| 1730522749 | Joyce Prevatt Eury | Dietitian, Registered | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7155 | 2013-04-09 |
| 1699015784 | Novant Medical Group Inc | Surgery | 1710 Kernersville Medical Pkwy, Suite 202, Kernersville, NC 27284-7146 | 2013-02-26 |
| 1518206374 | Novant Medical Group Inc | Surgery | 1710 Kernersville Medical Pkwy, Suite 202, Kernersville, NC 27284-7155 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831124254 | Thomas Raymond Walsh | Surgery | 1710 Kernersville Medical Pkwy Ste 220, Suite 220, Kernersville, NC 27284-7156 | 2006-07-12 |
| 1780615799 | James Dasher | Surgery | 1710 Kernersville Medical Pkwy, Suite 220, Kernersville, NC 27284-7155 | 2006-07-06 |
| 1518206374 | Novant Medical Group Inc | Surgery | 1710 Kernersville Medical Pkwy, Suite 202, Kernersville, NC 27284-7155 | 2013-02-13 |
| 1306185541 | Novant Medical Group, Inc. | Surgery | 1710 Kernersville Medical Pkwy, Suite 202, Kernersville, NC 27284-7146 | 2013-02-07 |
| 1750601803 | Kernersville Eye Surgeons, PC | Surgery | 280 Broad St, Suite D, Kernersville, NC 27284-2796 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
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| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.