NOVANT MEDICAL GROUP, INC (NPI# 1851635460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851635460 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH PINNACLE ORTHOPEDICS |
| Practice Address |
1035 Dale Earnhardt Blvd Kannapolis NC 28083-4477 |
| Mailing Address |
Po Box 602362 Charlotte NC 28260-2362 |
| Practice Telephone | 7042165633 |
| Practice Fax Number | 7046390785 |
| Mailing Telephone | 7042165633 |
| Mailing Fax Number | 7046390785 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7042165633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5922128 | 05 |
| Other Name | Type Code |
|---|---|
| Novant Health Pinnacle Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 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 |
1035 DALE EARNHARDT BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418331 | Lester G Brown | Family Medicine | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2005-09-23 |
| 1033776240 | Heather Ross Thomas | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2019-05-22 |
| 1063910974 | Samantha Price | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2018-01-25 |
| 1629447875 | Amanda Furr Upchurch | Nurse Practitioner | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2015-09-17 |
| 1871981506 | Victoria Welch | Physician Assistant | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2015-01-05 |
| 1215209820 | Rowan Diagnostic Clinic | Allergy & Immunology | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2012-01-30 |
| 1144514662 | Novant Medical Group, Inc | Family Medicine | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2011-06-01 |
| 1962648873 | Phytcare LLC | Physical Therapist | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2008-12-23 |
| 1285846865 | Matrix Occupational Health Inc. D/b/a Nextcare Urgent Care | Clinic/Center | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2007-05-04 |
| 1639193196 | Christopher J Caggiano Sr. | Physician Assistant | 1035 Dale Earnhardt Blvd, Kannapolis, NC 28083-4477 | 2006-07-27 |
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| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| 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 |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
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| City | KANNAPOLIS |
| Zip Code | 28083 |
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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.