NOVANT MEDICAL GROUP, INC. (NPI# 1801362660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801362660 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH PRIMARY CARE POPLAR TENT |
| Practice Address |
9955 Poplar Tent Rd Concord NC 28027-9314 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161161 |
| Practice Fax Number | 7043161162 |
| Mailing Telephone | 8442668268 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-09-24 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Lakeside Primary Care | Doing Business As Name - Organization |
| Novant Health Mint Hill OB/GYN | Doing Business As Name - Organization |
| Novant Health Primary Care Poplar Tent | 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 |
9955 POPLAR TENT RD |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905391 | Cynthia Wesley | Obstetrics & Gynecology | 9955 Poplar Tent Rd, Concord, NC 28027 | 2006-05-01 |
| 1962969774 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 9955 Poplar Tent Rd, Concord, NC 28027-9304 | 2019-02-28 |
| 1922538503 | Jacqueline Katrina Watson | Family Medicine | 9955 Poplar Tent Rd, Concord, NC 28027-9314 | 2017-06-15 |
| 1124404686 | Hang Linda Hoang | Nurse Practitioner | 9955 Poplar Tent Rd, Concord, NC 28027-9304 | 2015-08-07 |
| 1891180105 | Ashikaben Patel | Obstetrics & Gynecology | 9955 Poplar Tent Rd, Concord, NC 28027-9314 | 2015-04-02 |
| 1235222704 | Margaret Stephanie Dutton | Obstetrics & Gynecology | 9955 Poplar Tent Rd, Concord, NC 28027-9314 | 2006-10-02 |
| 1215953054 | Trang Vuong | Internal Medicine | 9955 Poplar Tent Rd, Concord, NC 28027-9304 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| 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 |
|---|---|---|---|---|
| 1730646282 | Gifted Guidance | Family Medicine | 960 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2019-02-20 |
| 1831572353 | Mark Prodger | Family Medicine | 250 Pleasant Street Chfhc, Yeaple Building, Concord, NH 03301-7539 | 2015-07-01 |
| 1700209244 | Carolinas Physicians Network Inc | Family Medicine | 675 Memorial Blvd, Suite 100, Concord, NC 28025-2992 | 2014-02-03 |
| 1932441979 | Monica Therese Lawler | Family Medicine | 270 Copperfield Blvd Ne Ste 102, Concord, NC 28025-2443 | 2013-03-16 |
| 1174868368 | Doctors Plus Pllc | Family Medicine | 205 Branchview Drive, Concord, NC 28025 | 2012-11-29 |
| 1831357508 | Peter C Loeser | Family Medicine | 194 Pleasant St Ste 7, Concord, NH 03301-2952 | 2008-05-29 |
| 1548451149 | Tess Georgette Richards | Family Medicine | 270 Copperfield Blvd, Suite 102, Concord, NC 28025-2443 | 2007-08-08 |
| 1821289679 | Curtis Reinhold Preik | Family Medicine | 9915 Clarkes View Pl Nw, Concord, NC 28027-7235 | 2007-08-07 |
| 1942407283 | Park Avenue Walk In Clinic | Family Medicine | 1280 Monument Blvd Ste 1, Concord, CA 94520-4405 | 2007-06-29 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| Find all providers in CONCORD | ||||
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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.