NOVANT MEDICAL GROUP, INC. (NPI# 1508496142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508496142 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Practice Address |
108 W Medical Park Dr Lexington NC 27292-6773 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3362437054 |
| Practice Fax Number | 3362432302 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health City Lake OB/GYN | 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 |
108 W MEDICAL PARK DR |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-6773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422180 | Piedmont Women's Healthcare, Pa | Obstetrics & Gynecology | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2006-01-18 |
| 1669930152 | Michelle Lynn Lamacchia | Nurse Practitioner | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2019-03-04 |
| 1376983700 | Nancy Perez | Nurse Practitioner | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2013-06-29 |
| 1487940292 | Meaghan Margaret Aalto | Obstetrics & Gynecology | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2011-06-21 |
| 1760669196 | Barbara H. Evans | Advanced Practice Midwife | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2008-01-29 |
| 1235316118 | Forsyth Medical Group, LLC. | Obstetrics & Gynecology | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2008-01-23 |
| 1295951903 | Jamila Michelle Crawford | Obstetrics & Gynecology | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2007-04-18 |
| 1780652909 | Michele Polidoro | Obstetrics & Gynecology | 108 W Medical Park Dr, Lexington, NC 27292-6773 | 2006-03-14 |
| 1407821473 | Bernadette H. Fedziuk | Nurse Practitioner | 108 W Medical Park Dr, Lexington, NC 27292 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285098061 | Audrey Garneau | Obstetrics & Gynecology | 800 Rose St # C368, Lexington, KY 40536-4720 | 2016-04-07 |
| 1558743658 | Katherine Schluter Vignes | Obstetrics & Gynecology | Obstetrics and Gynecology, 800 Rose Street C-368, Lexington, KY 40536-0293 | 2015-06-24 |
| 1912387523 | Emily Jordan Gregory | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 703, Lexington, KY 40503-1467 | 2015-06-09 |
| 1679993372 | Mary Baylon | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 704, Lexington, KY 40503-1467 | 2014-04-21 |
| 1518387687 | Claire Alison Fish | Obstetrics & Gynecology | 468 Holiday Road, Lexington, KY 40502 | 2014-04-16 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255697900 | Sarah Borders | Obstetrics & Gynecology | 1702 Nicholasville Road, Suite 702, Lexington, KY 40503-1489 | 2012-04-06 |
| 1508189168 | Mark Richard Hoffman | Obstetrics & Gynecology | 800 Rose St Rm C-375, Lexington, KY 40536-0084 | 2010-03-10 |
| 1043449341 | Shebna Unes Kunju | Obstetrics & Gynecology | 800 Rose St Rm C-368, Lexington, KY 40536-0293 | 2009-07-08 |
| 1265669949 | Cecilia King-porter | Obstetrics & Gynecology | 27 Carriage Dr, Lexington, MA 02420-1141 | 2009-06-19 |
| Find all providers in LEXINGTON | ||||
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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.