NOVANT MEDICAL GROUP, INC.


Address: 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179
Phone: 7043849414

NOVANT MEDICAL GROUP, INC. (NPI# 1639730880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639730880
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP, INC.
Other Organization Name NOVANT HEALTH TELEPSYCHIATRY
Practice Address 3545 Whitehall Park Dr Ste 300
Charlotte
NC 28273-4179
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043849414
Practice Fax Number 7043845735
Enumeration Date 2019-06-27
Last Update Date 2020-07-20
Authorized Official Name SHALA DAVIS (ENROLLMENT MANAGER)
Authorized Official Telephone 7043167845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health Telepsychiatry Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVANT MEDICAL GROUP, INC. 200 Hawthorne Ln, Charlotte, NC 28204-2515

Office Location

Street Address 3545 WHITEHALL PARK DR STE 300
City CHARLOTTE
State NC
Zip Code 28273-4179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144378449 Elizabeth Huai Saez Physician Assistant 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273 2007-01-05
1700419835 Richard Agyekum Addo Nurse Practitioner 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2020-02-18
1316596240 Amy Elizabeth Benchina Martins Nurse Practitioner 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2019-09-04
1689157711 Rebekah Krupski Pharmacist 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2018-09-14
1316428618 Kelly Ann Hoyle Nurse Practitioner 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273 2018-08-24
1306342035 Maryann Choy-ames Pharmacist 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2018-04-02
1811406234 Georgina Farrow Pharmacist 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2017-09-28
1699291443 Petronela Trina Matiut Nurse Practitioner 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2017-08-14
1417407321 Natasha Perry Social Worker 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2016-10-04
1265819353 Madeleine Mvula Physician Assistant 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2015-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588204846 Amerita South Atlantic LLC Durable Medical Equipment & Medical Supplies 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 2020-01-14
1295387637 Excel Eyecare Od Pa Optometrist 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 2019-07-16
1992262018 Katherine Grace Bias Speech-Language Pathologist 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 2019-02-25
1487111977 Shanise Danielle Lewis Respite Care Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 2019-02-21
1700361953 Timothy John Hartman Chiropractor 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 2018-10-03
1144703141 Shaquanda King Behavior Technician 15528 Baltinglass Ct., Charlotte, NC 28273 2018-09-14
1184106502 Janelle Gillis Behavioral Analyst 13354 Calloway Glen Dr, Charlotte, NC 28273 2018-09-01
1730688680 Style By Shandy Inc Specialist 2106 Arysley Town Blvd, A, Charlotte, NC 28273 2018-02-06
1063945582 Bpolloni Consulting Clinical Medical Laboratory 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 2017-04-11
1770038325 Kerry Barbera Dietitian, Registered 12421 Belmont Mansion Dr, Charlotte, NC 28273 2016-08-23
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417464900 St Lazarus Behavioral Health PC Psychiatry & Neurology 8401 Medical Plaza Dr Ste 355, Charlotte, NC 28262-9718 2018-01-05
1942666334 Daymark Recovery Services Inc Psychiatry & Neurology 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 2016-01-14
1275827990 Erica Elise Herman Psychiatry & Neurology 6060 Piedmont Row Dr S Ste 500, Charlotte, NC 28287-3803 2011-05-31
1710162078 Patterson Healthcare Pa Psychiatry & Neurology 6115 Park South Drive, Suite 130, Charlotte, NC 28210-3269 2008-01-07
1871786830 Wallace Harden Smith II Psychiatry & Neurology 3120 Cambridge Rd, Charlotte, NC 28209-1304 2007-08-23
1639386014 Odette Cianchini Valder Psychiatry & Neurology 413 S Sharon Amity Rd, Suite B, Charlotte, NC 28211-2865 2007-05-16
1265659965 Malti Praful Mehta Psychiatry & Neurology 459 N Wendover Rd, Malti and P Mehta Pa, Charlotte, NC 28211 2007-04-20
1497877468 Mary Mcmahan Christenbury Psychiatry & Neurology 2231 Thornridge Rd, Charlotte, NC 28226-6446 2007-04-03
1447374459 Susan K Gillette Psychiatry & Neurology 3604 Hampton Manor Dr, Charlotte, NC 28226-7006 2007-03-16
1851445209 Preetinder Paul Singh Brar Psychiatry & Neurology 8029 Corporate Center Dr Ste 200, Charlotte, NC 28226-4548 2007-01-23
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28273

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Dataset Information

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.

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