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NOVANT MEDICAL GROUP INC NPI 1144534942


NPI Information

NPI: 1144534942
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH PSYCHIATRIC ASSOCIATES

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
16525 HOLLY CREST LN
SUITE 210
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 384-1246
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NOVANT MEDICAL GROUP INC is a child and adolescent psychiatry psychiatry neurology in Huntersville, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NOVANT MEDICAL GROUP INC NPI is 1144534942. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Psychiatric Associates.

The provider's business location address is:

16525 HOLLY CREST LN
SUITE 210
HUNTERSVILLE, NC
ZIP 28078-912
Phone: (704) 384-1246
Fax: (704) 384-1249

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-1246.

The enumeration date for this NPI number is 8/4/2010 and was last updated on 7/5/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12343183KMEDICARE UPINNORTH CAROLINA
25915179MEDICAIDNORTH CAROLINA

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: 5/5/2024

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