NOVANT MEDICAL GROUP, INC. (NPI# 1922184183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922184183 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | CAROLINA OB/GYN OF YORK COUNTY |
| Practice Address |
360 S Herlong Ave Rock Hill SC 29732-1160 |
| Mailing Address |
Po Box 602362 Charlotte NC 28260-2362 |
| Practice Telephone | 8033664171 |
| Practice Fax Number | 8033666890 |
| Mailing Telephone | 8033664171 |
| Mailing Fax Number | 8033666890 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | GEOFFREY GARDNER (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043849094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 04774 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4549 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Ob/Gyn of York County | 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 |
360 S HERLONG AVE |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355497 | James Leonard Hubbard | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2005-06-08 |
| 1437451606 | Piedmont Carolina Ob/gyn of York County, LLC | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2010-11-22 |
| 1699983247 | Angela Morrison | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2007-05-18 |
| 1437153483 | Glenn Allin Raymond | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952776940 | Pmc Physician Network, L.L.C. | Obstetrics & Gynecology | 1721 Ebenezer Rd # 5, Ste 145, Rock Hill, SC 29732-4103 | 2015-12-02 |
| 1285071779 | Kathryn E. Webb | Obstetrics & Gynecology | 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732-1119 | 2013-05-24 |
| 1093727638 | Carolina Obgyn of York County Pa | Obstetrics & Gynecology | 360 South Herlong Avenue, Rock Hill, SC 29732 | 2006-08-12 |
| 1760407753 | Ansley L Hilton | Obstetrics & Gynecology | 1721 Ebenezer Rd # 05, Suite 145, Rock Hill, SC 29732-4103 | 2006-07-12 |
| 1508866096 | Timothy Rydell | Obstetrics & Gynecology | 61 Emerald Pl, Rock Hill, NY 12775-6049 | 2005-07-26 |
| 1457355497 | James Leonard Hubbard | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2005-06-08 |
| 1679865232 | Gerald Comer | Obstetrics & Gynecology | 1656 Riverchase Blvd, Ste 3600, Rock Hill, SC 29732-2084 | 2011-05-13 |
| 1538463799 | Jyothi H Rangadhama | Obstetrics & Gynecology | 61 Emerald Pl, Rock Hill, NY 12775-6049 | 2011-01-03 |
| 1437451606 | Piedmont Carolina Ob/gyn of York County, LLC | Obstetrics & Gynecology | 360 S Herlong Ave, Rock Hill, SC 29732-1160 | 2010-11-22 |
| 1780916486 | Piedmont Gynecological and Obstetrical Associates | Obstetrics & Gynecology | 1656 Riverchase Blvd, Ste 3600, Rock Hill, SC 29732-2084 | 2010-02-04 |
| Find all providers in ROCK HILL | ||||
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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.