NOVANT MEDICAL GROUP, INC. (NPI# 1588859342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588859342 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT URGENT CARE SOUTHPORT |
| Practice Address |
1456 N Howe St Suite 100 Southport NC 28461-2754 |
| Practice Telephone | 9104548889 |
| Practice Fax Number | 9104548890 |
| Mailing Telephone | 9104548889 |
| Mailing Fax Number | 9104548890 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DINESH S PAI (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043849104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 019V6 | 01 |
| Other Name | Type Code |
|---|---|
| Novant Urgent Care Southport | 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 |
1456 N HOWE ST SUITE 100 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839632 | Southport Urgent Care Plls | Family Medicine | 1456 N Howe St, Suite 100, Southport, NC 28461-2754 | 2006-07-08 |
| 1497146856 | Novant Medical Group Inc | Urology | 1456 N Howe St, Suite 201, Southport, NC 28461-2754 | 2015-02-06 |
| 1194958140 | Davies Southport Chiropractic Pllc | Chiropractor | 1456 N Howe St, Ste. 103, Southport, NC 28461-2754 | 2009-08-25 |
| 1659501682 | David Jason Davies | Chiropractor | 1456 N Howe St, Suite 103, Southport, NC 28461-2754 | 2009-07-24 |
| 1851422158 | Tara Jean Parnell | Optometrist | 1456 N Howe St, Suite 100, Southport, NC 28461-2754 | 2007-03-08 |
| 1942304159 | Southport Urgent Care | Clinic/Center | 1456 N Howe St, Southport, NC 28461-2754 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427561067 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-11-06 |
| 1922414754 | Carolina Comprehensive Health | Clinic/Center | 4654 Long Beach Rd Se, Southport, NC 28461-8799 | 2014-07-01 |
| 1700112489 | Boss Urgent Care Pllc | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2009-10-30 |
| 1942304159 | Southport Urgent Care | Clinic/Center | 1456 N Howe St, Southport, NC 28461-2754 | 2006-09-08 |
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|---|---|---|---|---|
| 1699372243 | Urgent Care of Wallace, Pllc | Clinic/Center | 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 | 2020-10-07 |
| 1093325250 | Cdt Healthcare | Clinic/Center | 1011 High Point St, Randleman, NC 27317-7192 | 2020-08-03 |
| 1700409562 | Range Urgent Care, Pllc | Clinic/Center | 201 Nc Highway 9, Black Mountain, NC 28804 | 2020-05-27 |
| 1649899279 | Queens Empire Health | Clinic/Center | 3280 Henderson Dr Ste C-1, Jacksonville, NC 28546-5289 | 2020-04-14 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1801453089 | Mediq Urgent Care PC | Clinic/Center | 12201 N Nc Highway 150 Ste 11, Winston Salem, NC 27127-9731 | 2019-05-23 |
| 1144887324 | Bettermed of North Carolina Pllc | Clinic/Center | 2304 Matthews Township Pkwy Ste 104, Matthews, NC 28105-2693 | 2019-05-23 |
| 1992361992 | First Call Medical Group Pllc | Clinic/Center | 210 Charlois Blvd, Winston Salem, NC 27103-1552 | 2019-05-15 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 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.