NOVANT MEDICAL GROUP, INC. (NPI# 1932745569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932745569 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Practice Address |
1904 Jake Alexander Blvd W Ste 301 Salisbury NC 28147-1177 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 9803029307 |
| Practice Fax Number | 7043169859 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | Y |
| Parent Organization Name | NOVANT MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Diabetes & Nutrition | 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 |
1904 JAKE ALEXANDER BLVD W STE 301 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669420022 | Earl Joseph Myers | Emergency Medicine | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 | 2006-05-05 |
| 1093314841 | Novant Medical Group, Inc. | Emergency Medicine | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 | 2020-10-22 |
| 1710528328 | Emily Kelker | Pain Medicine | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 | 2019-10-04 |
| 1356807721 | Jenna Lee Cameron | Nurse Practitioner | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 | 2019-02-11 |
| 1558858381 | Meredith Rae Julian | Nurse Practitioner | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| 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 |
|---|---|---|---|---|
| 1427305598 | Geeti Dhillon | Internal Medicine | 560 Riverside Dr Ste A106, Salisbury, MD 21801-4702 | 2012-08-08 |
| 1356667505 | Kobina Arhin Wilmot | Internal Medicine | 911 W Henderson St Ste 230, Salisbury, NC 28144-2700 | 2010-04-13 |
| 1659605202 | Allen Wayne Tustin | Internal Medicine | 5342 Sharps Point Rd, Salisbury, MD 21801-9600 | 2009-09-30 |
| 1760613897 | James Leo Clifford | Internal Medicine | 5289 Silver Run Lane, Salisbury, MD 21801 | 2009-08-06 |
| 1073750865 | Katerina Bozhikova Todorov | Internal Medicine | 1665 Woodbrooke Drive, Salisbury, MD 21804 | 2009-01-15 |
| 1285887323 | Frank T. Shafer | Internal Medicine | 104 Circle Dr, Salisbury, NC 28144-3310 | 2008-11-03 |
| 1518173905 | J N Holmes Md and Associates General Internal Medicine Pllc | Internal Medicine | 102 Mocksville Ave, Salisbury, NC 28144-3345 | 2007-05-15 |
| 1407977309 | Gavin C. Little, D.o., LLC | Internal Medicine | 46 Toll Rd Ste C, Salisbury, MA 01952-1435 | 2007-04-02 |
| 1215075890 | Eastern Shore Medical Center Pa | Internal Medicine | 914a Eastern Shore Dr, Salisbury, MD 21804-6410 | 2007-02-03 |
| 1508912239 | Helen M Baldado | Internal Medicine | 547 Riverside Drive, Suite F, Salisbury, MD 21801 | 2007-01-26 |
| Find all providers in SALISBURY | ||||
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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.