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NOVANT MEDICAL GROUP INC. NPI 1386667368


NPI Information

NPI: 1386667368
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH UNIVERSITY INTERNAL MEDICINE & PEDIATRICS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10320 MALLARD CREEK RD
SUITE 120
CHARLOTTE, NC
ZIP 28262
Phone: (704) 384-0570
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NOVANT MEDICAL GROUP, INC. is an internal medicine in Charlotte, NC. The provider is 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. NOVANT MEDICAL GROUP, INC. NPI is 1386667368. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health University Internal Medicine & Pediatrics.

The provider's business location address is:

10320 MALLARD CREEK RD
SUITE 120
CHARLOTTE, NC
ZIP 28262-204
Phone: (704) 384-0570
Fax: (704) 384-0571

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 384-9144.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207R00000XInternal MedicineYes

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
1CC5118OTHERNORTH CAROLINARAILROAD MEDICARE
2017WROTHERNORTH CAROLINABCBS
35903443MEDICAIDNORTH CAROLINA
42343183WMEDICARE PINNORTH 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: 4/28/2024

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