NOVANT MEDICAL GROUP INC (NPI# 1669863940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669863940 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH PRIMARY CARE ASSOCIATES MADISON |
| Practice Address |
723 Ayersville Rd Madison NC 27025-1505 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043847605 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | GEFFOREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NOvant Health Primary Care Associates Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
| 1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
| Street Address |
723 AYERSVILLE RD |
| City | MADISON |
| State | NC |
| Zip Code | 27025-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780955 | Leonard Robert Nyland | Family Medicine | 723 Ayersville Rd, Madison, NC 27025-1505 | 2006-05-23 |
| 1295001618 | Katherine Vaughan Hemberg | Nurse Practitioner | 723 Ayersville Rd, Madison, NC 27025-1505 | 2012-03-29 |
| 1568629954 | Leonard R Nyland, Md,pllc | Physician Assistant | 723 Ayersville Rd, Madison, NC 27025-1505 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065168 | Tammy Brewer Eckard | Pharmacist | 401 W. Decatur St., Madison, NC 27025 | 2007-01-08 |
| 1972562635 | Total Renal Care of North Carolina LLC | Clinic/Center | 302 Highway St, Madison, NC 27025 | 2006-03-21 |
| 1760578207 | Philip Steven Neal | Dentist | 727 Ayersville Rd, Madison, NC 27025-1505 | 2006-10-04 |
| 1255434924 | North Carolina Cvs Pharmacy LLC | Pharmacy | 717 Highway St, Madison, NC 27025-1507 | 2006-09-07 |
| 1649810201 | Nicholas Tanner White | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2020-01-12 |
| 1447715339 | Meritza Moorefield | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2019-02-05 |
| 1164990487 | Sadia Huma | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2018-11-05 |
| 1750639381 | Sapana Y Patel | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2012-08-29 |
| 1386930212 | Kathryn Watson Bullock | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2011-06-20 |
| 1285986927 | Truc Ly Nguyen Tran | Optometrist | 714 Highway St, Madison, NC 27025-1508 | 2012-10-04 |
| Find all providers in zip 27025 | ||||
| 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 |
|---|---|---|---|---|
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1598390932 | Ashley Rae Woodcock | Family Medicine | 844 Slaughter Rd, Madison, AL 35758-8836 | 2020-03-05 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1538628961 | Heidi Hollinger | Family Medicine | 145 Kelso Blvd, Madison, AL 35756-4285 | 2019-03-15 |
| 1902364383 | Robert Thomas Pepper | Family Medicine | 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 | 2019-03-05 |
| 1497240485 | Doctor-patient Medicine Inc | Family Medicine | 101 Westover Cir Ste B, Madison, AL 35758-4900 | 2018-06-22 |
| 1457863243 | Debra Ann Mandarino | Family Medicine | 4223 Mandan Cres # 4223, Madison, WI 53711-3063 | 2017-11-02 |
| 1407367683 | Roxanne L Brown | Family Medicine | 1210 Briarville Rd Bldg F, Madison, TN 37115-5136 | 2017-10-16 |
| 1871023242 | Tulio Romulo Figarola | Family Medicine | 225 Mill Walk Ct, Madison, AL 35758-1565 | 2017-06-18 |
| 1649704586 | Zaunklay Finnila | Family Medicine | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2017-04-18 |
| Find all providers in MADISON | ||||
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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.