NOVANT MEDICAL GROUP, INC. (NPI# 1609030196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609030196 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | THE MEDICAL GROUP, SWIFT CREEK |
| Practice Address |
206 Swift Creek Rd Hartsville SC 29550-4383 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8433835191 |
| Practice Fax Number | 8433838895 |
| Mailing Telephone | 8433835191 |
| Mailing Fax Number | 8433838895 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2009-03-19 |
| 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 |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4935 | 05 |
| Other Name | Type Code |
|---|---|
| The Medical Group, Swift Creek | 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 |
206 SWIFT CREEK RD |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239736 | Andrea B Trader | Nurse Practitioner | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2006-07-02 |
| 1861989733 | Barbara Dawn Calhoun | Nurse Practitioner | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2018-04-17 |
| 1770030926 | Hartsville Medical Associates LLC | Family Medicine | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2016-09-06 |
| 1972535342 | Michael E Harless | Family Medicine | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1609197623 | Luz Yolanda Mendez | Family Medicine | 701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 | 2010-06-14 |
| 1588738744 | Jack W Carey Jr. | Family Medicine | 220 Broadway, Hartsville, TN 37074-1304 | 2006-11-20 |
| 1245337955 | Pee Dee Healthcare Pa | Family Medicine | 214 S 2nd Street, Hartsville, SC 29550 | 2006-09-17 |
| 1760479620 | Carolina Family Practice P A | Family Medicine | 208 Swift Creek Rd, Hartsville, SC 29550-4383 | 2005-10-05 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1720630429 | Brandy Jackson Sinclair | Family Medicine | 708 Medical Park Dr, Hartsville, SC 29550-4765 | 2019-07-12 |
| 1770030926 | Hartsville Medical Associates LLC | Family Medicine | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2016-09-06 |
| 1144670266 | Daniel R Conner | Family Medicine | 1268 S 4th St, Hartsville, SC 29550-0703 | 2016-06-20 |
| 1194122598 | Palmetto Family Medicine and Senior Care, LLC | Family Medicine | 420 W Carolina Ave, Hartsville, SC 29550-4524 | 2014-12-01 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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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.