NOVANT MEDICAL GROUP. INC.


Address: 10810 Mallard Creek Rd, Charlotte, NC 28262-9786
Phone: 7045108000

NOVANT MEDICAL GROUP. INC. (NPI# 1821551615) 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) 1821551615
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP. INC.
Practice Address 10810 Mallard Creek Rd
Charlotte
NC 28262-9786
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7045108000
Mailing Telephone 8442668268
Enumeration Date 2019-04-09
Last Update Date 2019-04-09
Authorized Official Name SHALA DAVIS (RCS MANAGER)
Authorized Official Telephone 7043167845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Novant Health University Family Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962029942 Novant Medical Group. Inc. Family Medicine 150 College Rd Ne, Bolivia, NC 28422 2020-06-25
1699230540 Novant Medical Group. Inc. Family Medicine 4705 S Highway 150, Lexington, NC 27295-5203 2019-02-05
1104396761 Novant Medical Group. Inc. Preventive Medicine 9600 E. Independence Blvd, Matthews, NC 28105-4628 2018-11-27
1205473261 Novant Medical Group. Inc. Family Medicine 7130 Village Medical Cir, Clemmons, NC 27012-8004 2019-12-09
1649816273 Novant Medical Group. Inc. Family Medicine 903 Randolph St, Thomasville, NC 27360-5898 2019-11-19
1750924213 Novant Medical Group. Inc. Family Medicine 16525 Holly Crest Ln Ste 150, Huntersville, NC 28078-4911 2019-10-28
1629611579 Novant Medical Group. Inc. Family Medicine 121 Medical Dr, Advance, NC 27006-6651 2019-10-23
1093369530 Novant Medical Group. Inc. Obstetrics & Gynecology 2290 Remount Rd, Gastonia, NC 28054-4725 2019-08-01
1548726060 Novant Medical Group. Inc. Family Medicine 165 Lowes Foods Dr, Lewisville, NC 27023-8258 2019-02-20
1669949285 Novant Medical Group. Inc. Family Medicine 1977 Cotton Grove Rd, Lexington, NC 27292-5721 2018-11-01

Other Data Sources

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

Office Location

Street Address 10810 MALLARD CREEK RD
City CHARLOTTE
State NC
Zip Code 28262-9786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922009141 Charity Lynn Karwowski Family Medicine 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2005-08-10
1972046712 Julie Archibald Registered Nurse 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2016-11-28
1295108090 Ethan Mix Physical Therapist 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2015-11-03
1447628672 Nicole Vanderbosch Bush Physician Assistant 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2015-09-03
1851768352 Angela Catherine Davis Nurse Practitioner 10810 Mallard Creek Rd, Charlotte, NC 28262 2015-08-31
1861883084 Andrew Greenberg Physical Therapist 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2015-02-10
1720379274 Erika Sofia Chambliss Family Medicine 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2011-05-02
1770809592 Megin Latrell Gregory Family Medicine 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2010-04-19
1033445879 Cherryl Lai Klitch Physician Assistant 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2009-10-29
1942313556 Lorraine T. Parrish Nurse Practitioner 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 2006-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366056913 Aleta Michelle Johnson Specialist 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 2020-09-01
1275161580 Londyn Homecare Agency L.l.c Home Health 1914j.n. Place, Charlotte, NC 28262 2020-03-31
1154964914 Abundant Love Home Care Service LLC In Home Supportive Care 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 2019-10-24
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1114404506 Laura Ida Anthony-getant Social Worker 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 2018-07-27
1720573587 Carolinas Center for Ambulatory Dentistry LLC Dentist 8415 Medical Plaza Drice, Charlotte, NC 28262 2018-06-25
1598254799 Cassandra Faye Harding Nurse Practitioner 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 2018-05-03
1669960746 Michael Riley In Home Supportive Care 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 2018-04-25
1568989804 Bridget Coomber Behavior Technician 8420 University Executive Dr Ste 810, Charlotte, NC 28262 2017-08-28
1073037701 Toshana Daley Physical Therapist 8801 Jm Keynes Blvd, Charlotte, NC 28262 2017-08-03
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679066658 Afc Urgent Care and Family Care of Wnc, Pllc Clinic/Center 10102 Johnston Rd, Charlotte, NC 28210 2018-06-13
1225562580 Happy Healthcare, LLC Clinic/Center 1170 Liberty Rd, Charlotte, TN 37036-6408 2017-04-13
1417328931 Healthworks Med Group of North Carolina P C Clinic/Center 13520 Ballantyne Corporate Pl, Charlotte, NC 28277-2706 2015-10-09
1326324039 American Current Care of North Carolina PC Clinic/Center 9200 Harris Corners Parkway, Suite A, Charlotte, NC 28269 2011-10-26
1700105434 Aeroclinic North Carolina Clinic/Center 5501 Josh Birmingham Pkwy, Charlotte Douglas Airport, Charlotte, NC 28208-5750 2010-05-20
1841256567 Grace Medical Clinics, Pa Clinic/Center 2401 Tuckaseegee Rd, Charlotte, NC 28208-4058 2006-04-21
1356807234 Novant Medical Group, Inc. Clinic/Center 8110 Healthcare Loop, Charlotte, NC 28215-7069 2019-02-15
1417444357 American Current Care of North Carolina PC Clinic/Center 10616 Metromont Pkwy Ste 102, Charlotte, NC 28269-7657 2018-04-17
1790282853 Starmed Urgent & Family Care, P.a. Clinic/Center 4001 Tuckaseegee Rd, Charlotte, NC 28208-2831 2018-04-06
1922537612 Carolina Medicorp Enterprises Inc Clinic/Center 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 2017-06-07
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Competitor

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City CHARLOTTE
Zip Code 28262

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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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