NOVANT MEDICAL GROUP, INC. (NPI# 1508196098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508196098 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | MID CAROLINA CARDIOLOGY |
| Practice Address |
1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2903 |
| Mailing Address |
1718 E 4th St Suite 501 Charlotte NC 28204-3261 |
| Practice Telephone | 7043165353 |
| Practice Fax Number | 7043165354 |
| Mailing Telephone | 7043439800 |
| Mailing Fax Number | 7043472011 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | MICHELE GRIER (SVP & COO OF NMG) |
| Authorized Official Telephone | 3362772421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid Carolina Cardiology | 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 |
1028 LEE ANN DR NE SUITE 100 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256854 | Thomas Francis Trahey IIi | Specialist | 1028 Lee Ann Dr Ne, Suite 100, Concord, NC 28025-2903 | 2005-06-22 |
| 1043667025 | Royal Orthotics, LLC | Orthotist | 1028 Lee Ann Dr Ne, Ste 50, Concord, NC 28025-2903 | 2016-05-19 |
| 1407282320 | Alyssa Danielle Vahala | Physician Assistant | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2013-09-24 |
| 1609120427 | Amber James Clontz | Nurse Practitioner | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-10-31 |
| 1851647572 | Amy R Skipper | Nurse Practitioner | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-07-31 |
| 1275890477 | Mark Anthony Smiley | Emergency Medicine | 1028 Lee Ann Dr Ne, Concord, NC 28025-2903 | 2012-04-12 |
| 1447517628 | Eric William Martin | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-04-12 |
| 1831455229 | Idan Cudykier | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-04-10 |
| 1265752943 | John David Franklin | Emergency Medicine | 1028 Lee Ann Dr Ne, Ste 200, Concord, NC 28025-2903 | 2010-06-04 |
| 1174795058 | Gregory Lawrence Geers | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2008-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1194136523 | University Healthcare Alliance | Internal Medicine | 2222 East St Ste 260, Concord, CA 94520-2074 | 2014-05-20 |
| 1164687901 | Jacques Chahin, M. D., Inc. | Internal Medicine | 2700 Grant St Ste 311, Concord, CA 94520-2268 | 2008-07-22 |
| 1992998652 | Michael Tofano Md PC | Internal Medicine | 131ornac John Cuming Building, Suite 650, Concord, MA 01742 | 2007-08-24 |
| 1770592297 | Donna Darlene Adams | Internal Medicine | 246 Pleasant Street, Suite 103, Memorial Medical Office Building, Concord, NH 03301 | 2006-08-05 |
| 1003896721 | Concord Cardiology | Internal Medicine | 131 Old Road To Nine Acre Corner, Suite 520 John Cuming Bldg, Concord, MA 01742 | 2006-01-19 |
| 1265414155 | Ayman A Hosny | Internal Medicine | 2700 Grant St, Ste 101, Concord, CA 94520-2280 | 2005-11-16 |
| 1700882958 | Patrick Anonick | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| 1508860552 | Matthew J Gutierrez | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2548 | 2005-06-08 |
| 1588039614 | John Muir Physician Network | Internal Medicine | 2485 High School Ave, #100, Concord, CA 94520-1819 | 2015-12-01 |
| 1457761504 | John Muir Physician Network | Internal Medicine | 2700 Grant St, Suite 106, Concord, CA 94520-2266 | 2014-04-29 |
| Find all providers in CONCORD | ||||
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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.