NOVANT MEDICAL GROUP INC (NPI# 1457710436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457710436 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH PSYCHIATRIC ASSOCIATES |
| Practice Address |
6324 Fairview Rd Suite 350 Charlotte NC 28210-3271 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043848600 |
| Practice Fax Number | 7043848610 |
| Mailing Telephone | 7043848600 |
| Mailing Fax Number | 7043848610 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043848600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Psychiatric Associates | 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 |
6324 FAIRVIEW RD SUITE 350 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380549 | William E Porter | Obstetrics & Gynecology | 6324 Fairview Rd, Suite 390, Charlotte, NC 28210-3271 | 2005-07-14 |
| 1184163859 | Cary Probst | Physician Assistant | 6324 Fairview Rd, Suite 390, Charlotte, NC 28210-3271 | 2017-02-15 |
| 1174991871 | Novant Medical Group, Inc | Obstetrics & Gynecology | 6324 Fairview Rd, Suite 390, Charlotte, NC 28210-3271 | 2015-09-11 |
| 1093101222 | Sashalee Stewart | Psychiatry & Neurology | 6324 Fairview Rd, Charlotte, NC 28210-3271 | 2015-04-14 |
| 1801287610 | Amy Petticrew | Physician Assistant | 6324 Fairview Rd, Suite 201, Charlotte, NC 28210-3271 | 2015-02-16 |
| 1790110484 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6324 Fairview Rd, Charlotte, NC 28210-3271 | 2013-09-12 |
| 1023458767 | Amy Smith Medlin | Social Worker | 6324 Fairview Rd, Suite 350, Charlotte, NC 28210-3271 | 2013-06-26 |
| 1710322367 | Daniel Scott Donner | Pediatrics | 6324 Fairview Rd, Suite 350, Charlotte, NC 28210-3271 | 2013-05-08 |
| 1447414925 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd, Ste 390, Charlotte, NC 28210-4173 | 2008-07-15 |
| 1467644021 | Genevieve Noel Brauning | Family Medicine | 6324 Fairview Rd, Suite 201, Charlotte, NC 28210-4278 | 2007-08-16 |
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| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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|---|---|---|---|---|
| 1417464900 | St Lazarus Behavioral Health PC | Psychiatry & Neurology | 8401 Medical Plaza Dr Ste 355, Charlotte, NC 28262-9718 | 2018-01-05 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1275827990 | Erica Elise Herman | Psychiatry & Neurology | 6060 Piedmont Row Dr S Ste 500, Charlotte, NC 28287-3803 | 2011-05-31 |
| 1710162078 | Patterson Healthcare Pa | Psychiatry & Neurology | 6115 Park South Drive, Suite 130, Charlotte, NC 28210-3269 | 2008-01-07 |
| 1871786830 | Wallace Harden Smith II | Psychiatry & Neurology | 3120 Cambridge Rd, Charlotte, NC 28209-1304 | 2007-08-23 |
| 1639386014 | Odette Cianchini Valder | Psychiatry & Neurology | 413 S Sharon Amity Rd, Suite B, Charlotte, NC 28211-2865 | 2007-05-16 |
| 1265659965 | Malti Praful Mehta | Psychiatry & Neurology | 459 N Wendover Rd, Malti and P Mehta Pa, Charlotte, NC 28211 | 2007-04-20 |
| 1497877468 | Mary Mcmahan Christenbury | Psychiatry & Neurology | 2231 Thornridge Rd, Charlotte, NC 28226-6446 | 2007-04-03 |
| 1447374459 | Susan K Gillette | Psychiatry & Neurology | 3604 Hampton Manor Dr, Charlotte, NC 28226-7006 | 2007-03-16 |
| 1851445209 | Preetinder Paul Singh Brar | Psychiatry & Neurology | 8029 Corporate Center Dr Ste 200, Charlotte, NC 28226-4548 | 2007-01-23 |
| Find all providers in CHARLOTTE | ||||
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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.