NOVANT MEDICAL GROUP, INC. (NPI# 1639334329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639334329 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | LOWRYS FAMILY MEDICINE GREAT FALLS |
| Practice Address |
308 Chester Ave Great Falls SC 29055-1104 |
| Practice Telephone | 8034822129 |
| Mailing Telephone | 8034822129 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DINSEH S PAI (VP OPERATIONS) |
| Authorized Official Telephone | 7043849113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5120 | 05 |
| Other Name | Type Code |
|---|---|
| Lowrys Family Medicine Great Falls | 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 |
308 CHESTER AVE |
| City | GREAT FALLS |
| State | SC |
| Zip Code | 29055-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1639637358 | Alice Marie Dalena | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2019-03-12 |
| 1073962759 | Garrett Colton Kent | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2016-06-03 |
| 1598948333 | Terry Dewayne Sims | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2007-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138235 | Milrush, LLC | Durable Medical Equipment & Medical Supplies | 503 Chester Avenue, Great Falls, SC 29055 | 2007-05-29 |
| 1235688425 | National Outreach and Wellness Center LLC | Counselor | 404 Chester Ave, Great Falls, SC 29055-1206 | 2016-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1487682878 | Milrush LLC | Pharmacy | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2006-06-28 |
| 1760829949 | Ann Mcelwee Mccrorey | Pharmacist | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2013-05-29 |
| 1487938767 | The Great Falls Rescue Squad | Ambulance | 560 Chester Ave, Great Falls, SC 29055-1208 | 2011-10-04 |
| 1730461138 | Chad N Mullins | Orthotic Fitter | 513 Chester Ave, Great Falls, SC 29055-1219 | 2011-09-13 |
| 1740551043 | Old Souls New Shoes LLC | Durable Medical Equipment & Medical Supplies | 513 Chester Ave, Great Falls, SC 29055-1219 | 2012-01-18 |
| 1528619574 | Latonya Boulware | Social Worker | 2289 Spencer Boyd Rd, Great Falls, SC 29055-8908 | 2019-09-21 |
| 1720389109 | Jessica Nicole Dewese | Social Worker | 5225 Sweatt Mccollough Rd, Great Falls, SC 29055-8912 | 2010-11-16 |
| Find all providers in zip 29055 | ||||
| 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 |
|---|---|---|---|---|
| 1689916991 | Great Falls Medical Center, LLC | Family Medicine | 1142 Walker Rd Ste C, Great Falls, VA 22066-1836 | 2013-03-25 |
| 1023389673 | Samuel Vladimir Boor | Family Medicine | 15 Trapper Valley Rd, Great Falls, MT 59405-8126 | 2012-01-13 |
| 1306177092 | Susan H. Avery, Md, PC | Family Medicine | 401 15th Ave S Ste 110, Great Falls, MT 59405-4334 | 2010-01-20 |
| 1811013345 | Initialcare Plus, Pllc | Family Medicine | 125 Northwest Byp, Great Falls, MT 59404-4141 | 2007-03-22 |
| 1568540516 | Patsy M Vargo | Family Medicine | 3511 1st Ave N Ste 1, Great Falls, MT 59401-3527 | 2006-11-01 |
| 1932287463 | Jennifer Cruise | Family Medicine | 2517 7th Ave S Ste B3, Great Falls, MT 59405-3033 | 2006-11-01 |
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1073543229 | Marcus A. Johnson | Family Medicine | 2201 Sun River Rd, Great Falls, MT 59404 | 2006-07-04 |
| 1285660514 | Jodi L Weisser Violett | Family Medicine | 401 15th Ave S #201, Great Falls, MT 59405-4334 | 2006-06-26 |
| 1639105968 | Lyle J Onstad | Family Medicine | 401 15th Avenue South, Suite 201, Great Falls, MT 59405-4396 | 2006-06-26 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 29055 |
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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.