NOVANT MEDICAL GROUP, INC (NPI# 1639479355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639479355 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | TOTAL SPINE SPECIALISTS |
| Practice Address |
1995 Wellness Blvd Bldg B Suite 110 Monroe NC 28110-7772 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043163030 |
| Practice Fax Number | 7043163025 |
| Mailing Telephone | 7043163030 |
| Mailing Fax Number | 7043163025 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2013-07-05 |
| Authorized Official Name | MR. GEOFFREY GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043163030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Total Spine Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 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 |
1995 WELLNESS BLVD BLDG B SUITE 110 |
| City | MONROE |
| State | NC |
| Zip Code | 28110-7772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442733 | Harry Werner | Family Medicine | 1995 Wellness Blvd, Ste 110, Bldg B, Monroe, NC 28110-7769 | 2005-07-28 |
| 1407200934 | Meghan Alexander | Nurse Practitioner | 1995 Wellness Blvd, Bldg. B, Suite #110, Monroe, NC 28110-7769 | 2016-04-21 |
| 1023273927 | Sarah E Horne-barfield | Nurse Practitioner | 1995 Wellness Blvd, Ste 110, Bldg B, Monroe, NC 28110-7769 | 2008-07-21 |
| 1134257199 | Jacques Philippe Laguerre | Family Medicine | 1995 Wellness Blvd, Ste 110, Bldg B, Monroe, NC 28110-7769 | 2007-03-01 |
| 1811080534 | Sadhana Vedavyasa Char | Family Medicine | 1995 Wellness Blvd, Suite 110 Bldg B, Monroe, NC 28110-7769 | 2006-10-02 |
| 1043273493 | Robin Cook | Nurse Practitioner | 1995 Wellness Blvd, Stuite 110, Bldg B, Monroe, NC 28110-7769 | 2006-04-07 |
| 1912969817 | Roy C Blank | Internal Medicine | 1995 Wellness Blvd, Suite 110, Bldg B, Monroe, NC 28110-7769 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154714475 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2151 W Spring St Ste 140, Monroe, GA 30655-3115 | 2015-03-11 |
| 1730519935 | Joseph John King II | Orthopaedic Surgery | 1310 New Salem Rd, Monroe, NC 28110-9696 | 2013-11-25 |
| 1558529438 | Larry Martin Jr. | Orthopaedic Surgery | 2000 Wellness Blvd Ste 140, Monroe, NC 28110-3354 | 2008-05-28 |
| 1376592261 | David Christopher Harkins | Orthopaedic Surgery | 2151b W Spring St Ste 140, Monroe, GA 30655-3115 | 2006-05-08 |
| 1952385809 | Sandra M King | Orthopaedic Surgery | 701 E Roosevelt Blvd, Bldg 600, Monroe, NC 28112-5170 | 2005-12-05 |
| 1144203209 | John Bernard Meade | Orthopaedic Surgery | 808 Circle Dr, Monroe, NC 28112-3800 | 2005-11-22 |
| 1619950771 | Jeffrey Morris Daily | Orthopaedic Surgery | 703 Comfort Ln, Monroe, NC 28112-5684 | 2005-11-22 |
| 1740287291 | Kenneth Joseph Mcnamee | Orthopaedic Surgery | 214 E Elm Ave, Suite 200, Monroe, MI 48162-2600 | 2005-06-30 |
| 1679577621 | Anthony Emmanuel Melonakos | Orthopaedic Surgery | 1420 N Monroe St, Monroe, MI 48162-4211 | 2005-06-08 |
| 1710453253 | Affinity Health Gorup, LLC | Orthopaedic Surgery | 920 Oliver Rd, Waiting Area L, Monroe, LA 71201-5702 | 2018-10-23 |
| Find all providers in MONROE | ||||
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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.