Provider Type Icon

NOVANT MEDICAL GROUP INC. NPI 1174169593


NPI Information

NPI: 1174169593
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH SENIOR CARE

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 34D0950389

Address:
6324 FAIRVIEW RD STE 310
CHARLOTTE, NC
ZIP 28210
Phone: (704) 316-6565
Get Directions

NOVANT MEDICAL GROUP, INC. is a geriatric medicine internal medicine in Charlotte, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. NOVANT MEDICAL GROUP, INC. NPI is 1174169593. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Senior Care.

The provider's business location address is:

6324 FAIRVIEW RD STE 310
CHARLOTTE, NC
ZIP 28210-172
Phone: (704) 316-6565
Fax: (704) 316-6560

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D0950389 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2019 and was last updated on 7/12/2023.


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
1207RG0300XInternal MedicineGeriatric MedicineYes

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.