NOVANT MEDICAL GROUP, INC


Address: 770 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103
Phone: 3367181970

NOVANT MEDICAL GROUP, INC (NPI# 1497119283) 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) 1497119283
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC
Other Organization Name NOVANT HEALTH PELVIC HEALTH CENTER
Practice Address 770 Highland Oaks Dr
Suite 100
Winston Salem
NC 27103
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 3367181970
Practice Fax Number 3367747105
Mailing Telephone 7043849672
Enumeration Date 2016-04-08
Last Update Date 2018-05-24
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043849672
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
Allopathic & Osteopathic Physicians
N 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians
Y 2088F0040X Urology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Pelvic Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962048512 Novant Medical Group, Inc Family Medicine 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 2019-11-19
1710444294 Novant Medical Group, Inc Orthopaedic Surgery 167 Moore Rd Ste 202, King, NC 27021-8770 2019-02-21
1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1114411139 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 2018-06-22
1649786575 Novant Medical Group, Inc Physical Therapist 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 2017-12-14
1962953877 Novant Medical Group, Inc Internal Medicine 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 2016-10-17
1063963080 Novant Medical Group, Inc Urology 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 2016-10-14
1265807937 Novant Medical Group, Inc Orthopaedic Surgery 1420 Us Highway 52, Suite B, Albemarle, NC 28001 2015-12-07
1881096907 Novant Medical Group, Inc Internal Medicine 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 2014-09-19
1548661606 Novant Medical Group, Inc Orthopaedic Surgery 7138 Village Medical Circle, Clemmons, NC 27012 2014-09-09

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVANT MEDICAL GROUP, INC. 200 Hawthorne Ln, Charlotte, NC 28204-2515

Office Location

Street Address 770 HIGHLAND OAKS DR
SUITE 100
City WINSTON SALEM
State NC
Zip Code 27103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205067006 Lori Anne Baydush Physical Therapist 770 Highland Oaks Dr, Winston Salem, NC 27103-7105 2009-07-29

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 2088F0040X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437671443 Arman Adam Kahokehr Urology Division of Urology Dumc 3146 Duke Clinics Cir Rm 1113, Durham, NC 27710-0001 2017-07-11
1821388034 Marcella Gevonne Willis-gray Urology 3032 Old Clinic Bldg, Cb#7570, Chapel Hill, NC 27599-7570 2011-04-10
1437641164 Novant Medical Group, Inc. Urology 1904 Jake Alexander Blvd W Ste 303, Salisbury, NC 28147-1177 2018-05-30
1033526181 Moses Cone Affiliated Physicians, Inc. Urology 283 White Oak St, Asheboro, NC 27203-5431 2014-07-21
1407104466 Carolinas Healthcare Associates, Inc. Urology 221 Memorial Dr, Jacksonville, NC 28546-6333 2012-08-24
1396918983 Transylvania Physician Services, Inc. Urology 87 Medical Park Dr Ste A, Brevard, NC 28712-3210 2008-04-04
1235112897 Vance F Merhoff Urology 911 W Henderson St, Ste 110, Salisbury, NC 28144-2736 2005-11-28

Competitor

Search similar providers

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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