NOVANT MEDICAL GROUP, INC. (NPI# 1720041593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720041593 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH SPINE SPECIALISTS |
| Practice Address |
2801 Randolph Rd Suite 100 Charlotte NC 28211-1051 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043674800 |
| Practice Fax Number | 7043163025 |
| Mailing Telephone | 7043674800 |
| Mailing Fax Number | 7043163025 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | GEOFFREY GARDNER (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043674800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | NC | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5908811 | 05 | |
| NC | PARTNERS | K401 | 01 |
| SC | NPB257 | 05 | |
| NC | BCBS NC | 019H9 | 01 |
| Other Name | Type Code |
|---|---|
| Novant Health Spine Specialists | 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 |
2801 RANDOLPH RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628901 | Maxwell Greenman | Ophthalmology | 2801 Randolph Rd, Ste 200, Charlotte, NC 28211-1047 | 2005-06-09 |
| 1639621253 | Robert Christenbery IIi | Physician Assistant | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2016-10-31 |
| 1235479155 | Novant Medical Group, Inc | Psychiatry & Neurology | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1051 | 2013-03-01 |
| 1336222900 | Eric Eskioglu | Neurological Surgery | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2006-10-24 |
| 1174540173 | Samuel R Borsellino | Neurological Surgery | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2006-07-16 |
| 1801853270 | Greenman Eye Associates Pllc | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-28 |
| 1801850342 | David B Greenman | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-13 |
| 1447236187 | Stephen W Hipp | Specialist | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2005-12-15 |
| 1083608384 | Thomas Hayes Woollen | Family Medicine | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | 2005-09-01 |
| 1053311282 | Kenneth D Weeks | Internal Medicine | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | 2005-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| 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 |
|---|---|---|---|---|
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1467972927 | Orthocarolina, Pa | Orthopaedic Surgery | 5935 Carnegie Blvd Ste 200, Charlotte, NC 28209-4645 | 2017-06-26 |
| 1235662198 | Gill Orthopaedics of The Carolinas PC | Orthopaedic Surgery | 10512 Park Rd Ste 203, Charlotte, NC 28210-8476 | 2017-04-07 |
| 1891149910 | David Macknet | Orthopaedic Surgery | 1025 Morehead Medical Dr., Suite 300, Charlotte, NC 28204-2966 | 2016-04-14 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| 1316213747 | David A Feaker Jr. | Orthopaedic Surgery | 4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919 | 2012-03-29 |
| 1326366048 | Michael Ruffolo | Orthopaedic Surgery | 1025 Morehead Medical Dr Ste 300, Department of Orthopaedic Surgery, Charlotte, NC 28204-2966 | 2010-05-05 |
| 1366676454 | Michael Devon Bates | Orthopaedic Surgery | Orthocarolina, 9848 North Tryon Street, Charlotte, NC 28262-2826 | 2009-05-05 |
| 1558510438 | William C Graham | Orthopaedic Surgery | 6300 Carmel Rd Ste 140, Charlotte, NC 28226 | 2008-09-16 |
| Find all providers in CHARLOTTE | ||||
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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.