NOVANT MEDICAL GROUP INC


Address: 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946
Phone: 3367656637

NOVANT MEDICAL GROUP INC (NPI# 1497080006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497080006
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP INC
Other Organization Name NOVANT HEALTH FORSYTH BRAIN AND SPINE SURGERY
Practice Address 190 Kimel Park Dr Ste 155
Winston Salem
NC 27103-6946
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 3367656637
Practice Fax Number 3367656964
Mailing Telephone 3367656637
Mailing Fax Number 3367656964
Enumeration Date 2009-10-15
Last Update Date 2020-03-11
Authorized Official Name SHALA DAVIS (ENROLLMENT MANAGER)
Authorized Official Telephone 7043167845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Brain and Spine Surgery Doing Business As Name - Organization
Novant Health Forsyth Brain and Spine Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 190 KIMEL PARK DR STE 155
City WINSTON SALEM
State NC
Zip Code 27103-6946

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235781782 William Austin Beshears Nurse Practitioner 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 2019-07-15
1760921522 Sarah Bush Nurse Practitioner 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 2017-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306228028 Charles Rawlings IIi Neurological Surgery 426 Old Salem Rd, Winston Salem, NC 27101-5268 2015-06-19
1568606747 Mark Russell Witcher Neurological Surgery Dept. of Neurosurgery, Wake Forest University, Baptist Medical Center, Medical Center Blvd., Winston Salem, NC 27127-7580 2009-05-01
1003083148 Dennis Michael Campbell Neurological Surgery 185 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6973 2008-05-08
1003917725 Neurosurgical Associates of The Neurological Surgery 2810 Maplewood Ave, Winston Salem, NC 27103-4138 2006-09-26
1396798732 Thomas A Sweasey Neurological Surgery 185 Kimel Park Dr Ste 201, Winston Salem, NC 27103-6973 2006-05-18
1891317152 Serdar Kaya Neurological Surgery Medical Center Blvd Janeway Tower 4th Floor, Winston Salem, NC 27157-0001 2020-05-09
1700207818 Neurosurgery and Pain Specialists of The Carolinas, P.C. Neurological Surgery 730 Highland Oaks Dr, Suite 105, Winston Salem, NC 27103-7154 2013-12-17
1063764140 Adrian Walter Laxton Neurological Surgery Medical Center Blvd, Winston Salem, NC 27157-0001 2012-10-12
1215222302 Phillip Robert Dagostino Neurological Surgery Medical Center Blvd, Winston Salem, NC 27157-0001 2011-06-16
1588897029 Stacey Quintero Wolfe Neurological Surgery Medical Center Blvd, Winston Salem, NC 27157-0001 2009-09-01
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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