NOVANT MEDICAL GROUP, INC. (NPI# 1598328866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598328866 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Practice Address |
6915 Village Medical Cir Clemmons NC 27012-8002 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164645 |
| Mailing Telephone | 7043164645 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Transitional Care & Infusion | 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 |
6915 VILLAGE MEDICAL CIR |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205189990 | Allison Skillman Moore | Physical Therapist | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2012-10-18 |
| 1093286379 | Tanglewood Park Physicians, Pllc | Emergency Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2018-12-11 |
| 1629506449 | Novant Medical Group, Inc | Family Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2017-05-24 |
| 1992152078 | Novant Medical Group, Inc | Internal Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2016-05-19 |
| 1659718534 | Forsyth Memorial Hospital Inc | Internal Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
| 1841669462 | Carolina Palliative Medicine & Supportive Care Pllc | Internal Medicine | 1112 Green Springs Rd, New Bern, NC 28560-6622 | 2015-09-24 |
| 1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
| 1366436735 | Nalin Mehta | Internal Medicine | 5003 Hospice Ln, Kannapolis, NC 28081-5784 | 2005-08-31 |
| 1447878764 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1689238594 | Hospice and Home Care of Alexander County Inc | Internal Medicine | 50 Lucy Echerd Ln, Taylorsville, NC 28681-3099 | 2019-04-25 |
| 1407419765 | Novant Medical Group, Inc. | Internal Medicine | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-04-22 |
| 1790258234 | Lower Cape Fear Hospice, Incorporated | Internal Medicine | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2019-01-08 |
| 1730655275 | Novant Medical Group, Inc. | Internal Medicine | 8201 Healthcare Loop, Charlotte, NC 28215-7072 | 2018-10-23 |
| 1053805127 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 | 2018-06-21 |
| 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.