NOVANT HEALTH, INC. (NPI# 1528690377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528690377 |
| Entity Type | Organization |
| Organization Name | NOVANT HEALTH, INC. |
| Other Organization Name | NOVANT HEALTH RED VENTURES WELLNESS CENTER |
| Practice Address |
1423 Red Ventures Dr Fort Mill SC 29707-5019 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103-5614 |
| Practice Telephone | 8039928030 |
| Practice Fax Number | 8039928031 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-12 |
| 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 | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Red Ventures Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT HEALTH, INC. | 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 |
| Street Address |
1423 RED VENTURES DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29707-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722360 | Nh Corporate Health, LLC | Emergency Medicine | 1423 Red Ventures Dr, Fort Mill, SC 29707-5019 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722360 | Nh Corporate Health, LLC | Emergency Medicine | 1423 Red Ventures Dr, Fort Mill, SC 29707-5019 | 2020-05-20 |
| 1407083165 | Meridith Maxwell Womick | Emergency Medicine | 515 River Crossing Dr, Ste 180, Fort Mill, SC 29715-7900 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1457825846 | Aiken Professional Association LLC | Emergency Medicine | 110 Sasanqua Drive, Graniteville, SC 29829-4136 | 2019-01-18 |
| 1104393214 | David Weitzman Md PC | Emergency Medicine | 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 | 2018-10-26 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
| 1831601814 | Doctors Care, P.a. | Emergency Medicine | 793 East Butler Road, Mauldin, SC 29662-3223 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.