Provider Type Icon

NOVANT MEDICAL GROUP INC. NPI 1174731988


NPI Information

NPI: 1174731988
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: SOUTH CHARLOTTE CENTER FOR GYNECOLOGY & PELVIC SURGERY

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
5933 BLAKENEY PARK DR
STE 101
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-2061
Get Directions

NOVANT MEDICAL GROUP, INC. is a gynecology obstetrics gynecology in Charlotte, NC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee NOVANT MEDICAL GROUP, INC. NPI is 1174731988. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Charlotte Center For Gynecology & Pelvic Surgery.

The provider's business location address is:

5933 BLAKENEY PARK DR
STE 101
CHARLOTTE, NC
ZIP 28277-713
Phone: (704) 316-2061
Fax: (704) 316-2062

The provider's authorized official is Dinesh S. Pai .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9104.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 6/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology32077NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12344668CMEDICARE PINNORTH CAROLINA
25907984MEDICAIDNORTH CAROLINA
3019C0OTHERNORTH CAROLINABCBS OF NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.