NOVANT MEDICAL GROUP, INC. (NPI# 1780145391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780145391 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH BRAIN AND SPINE SURGERY |
| Practice Address |
8201 Healthcare Loop Ste 201 Charlotte NC 28215-7072 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043163070 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | SHALA DAVIS (MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Brain and Spine Surgery | 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 |
8201 HEALTHCARE LOOP STE 201 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-7072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417046343 | Jennifer Lauren Dallas | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2006-10-11 |
| 1538653555 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1063906089 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1093228827 | Meghan Leigh Mcinnis | Nurse Practitioner | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-11-15 |
| 1720590185 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-10-25 |
| 1265878680 | Kristina May Shaffer | Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2013-05-13 |
| 1821264169 | Lilian M. Harris | Specialist | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679898548 | Andrew Hall Marky | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2010-04-02 |
| 1902058852 | Richard Paul Greenberg | Neurological Surgery | 3900 Colony Road Ste-c, Ageless Remedies, Charlotte, NC 28211-5022 | 2008-10-22 |
| 1619181898 | Erin N Kiehna | Neurological Surgery | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2007-05-09 |
| 1467673723 | Sarah Crissey Jernigan | Neurological Surgery | 225 Baldwin Avenue, Charlotte, NC 28204-3109 | 2007-05-02 |
| 1336775535 | Novant Medical Group, Inc. | Neurological Surgery | 2711 Randolph Rd Ste 100, Charlotte, NC 28207-2027 | 2020-03-19 |
| 1346703865 | Novant Medical Group, Inc. | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2019-04-11 |
| 1073023503 | Novant Medical Group, Inc. | Neurological Surgery | 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 | 2017-10-11 |
| 1801329602 | David Richard Peters | Neurological Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-07 |
| 1013370089 | Vincent Jack Rossi | Neurological Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2016-03-29 |
| 1558730028 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 14135 Ballantyne Corporate Pl, Suite 100, Charlotte, NC 28277-3383 | 2015-09-15 |
| 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.