NOVANT MEDICAL GROUP, INC. (NPI# 1932256229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932256229 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | LEWISVILLE MEDICAL CENTER |
| Practice Address |
3248 Edgeland Hwy Richburg SC 29729-9478 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8037896111 |
| Practice Fax Number | 8037896118 |
| Mailing Telephone | 7043847840 |
| Mailing Fax Number | 7043847830 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DINESH S. PAI (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043849104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12773 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4615 | 05 |
| Other Name | Type Code |
|---|---|
| Lewisville Medical Center | 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 |
3248 EDGELAND HWY |
| City | RICHBURG |
| State | SC |
| Zip Code | 29729-9478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471751 | Mehrdad Yousefian | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2006-05-09 |
| 1669835385 | Sonia Chaudhary | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2016-03-30 |
| 1235523945 | Pmc Physician Network, LLC | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2015-03-20 |
| 1275923260 | Tiffany Kennedy | Nurse Practitioner | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2015-01-28 |
| 1760783260 | Lewisville Medical Center, Inc. | Specialist | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2010-11-15 |
| 1689851388 | Lewisville Medical Center Incorporated | Family Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285162305 | Richburg Discount Pharmacy LLC | Pharmacy | 3191 Lancaster Hwy Ste H, Richburg, SC 29729 | 2017-06-02 |
| 1912060013 | Richard P Hughes | Preventive Medicine | 3909 Lancaster Hwy, Catowba Occupational Medicine, Richburg, SC 29729 | 2006-12-19 |
| 1275152373 | Richburg Fire Protection District | Ambulance | 225 N Main St, Richburg, SC 29729-8226 | 2020-04-09 |
| 1760881346 | Dana Marie Jacobs | Specialist/Technologist | 3971 Lewisville High School Rd, Richburg, SC 29729-9029 | 2014-08-19 |
| 1215586052 | Autumn Jordan | Specialist/Technologist | 3971 Lewisville High School Rd, Richburg, SC 29729-9029 | 2019-09-04 |
| 1700884327 | Julie W Bowers | Nurse Practitioner | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2005-07-08 |
| 1538778048 | Medical University Hospital Authority | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2020-07-30 |
| 1194037853 | Swapna Paladugu | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2010-07-10 |
| 1497918908 | Novant Medical Group Inc | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2008-07-03 |
| 1407394570 | Kira Robinson | Registered Nurse | 4374 Lancaster Hwy, Richburg, SC 29729-9060 | 2017-02-08 |
| Find all providers in zip 29729 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471751 | Mehrdad Yousefian | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2006-05-09 |
| 1669835385 | Sonia Chaudhary | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2016-03-30 |
| 1235523945 | Pmc Physician Network, LLC | Internal Medicine | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706280 | Lexington Health Inc | Internal Medicine | 146 E Hospital Dr Ste 530, West Columbia, SC 29169-4800 | 2020-10-08 |
| 1134746555 | Medical University Hospital Authority | Internal Medicine | 1205 North Main Street, Mullins, SC 29474 | 2020-07-01 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1972128221 | John Fincher Gist Bobo | Internal Medicine | 169 Ashley Ave Rm 202muh, Charleston, SC 29425-8905 | 2020-06-12 |
| 1841829215 | Baird Medical, LLC | Internal Medicine | 65 Winston Cir, Pawleys Island, SC 29585-4841 | 2020-04-07 |
| 1104452770 | Marlo Bruno, LLC | Internal Medicine | 191 Preston Dr, Pawleys Island, SC 29585-6320 | 2020-03-16 |
| 1205469624 | Crocodile Pharmacy Services, LLC | Internal Medicine | 1731 Laurel St, Columbia, SC 29201-2624 | 2020-02-13 |
| 1053943555 | Rafael D Sanchez Medical Services LLC | Internal Medicine | 17 Field Sparrow Rd, Hilton Head Island, SC 29926-1812 | 2020-02-12 |
| 1952945636 | Jag Medical Services LLC | Internal Medicine | 105 S Cedar St Ste G, Summerville, SC 29483-6078 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
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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.