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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Novant Health University Family Physicians | Doing Business As Name - Organization |
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 |
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 |
Street Address |
10810 MALLARD CREEK RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28262-9786 |
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 |
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 |
Find all providers in zip 28262 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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 |
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.