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NOVANT MEDICAL GROUP INC. NPI 1518967546


NPI Information

NPI: 1518967546
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4105 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28105
Phone: (704) 384-9920
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NOVANT MEDICAL GROUP, INC. is a family medicine in Mint Hill, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT MEDICAL GROUP, INC. NPI is 1518967546. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pine Lake Family Physicians.

The provider's business location address is:

4105 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28105-633
Phone: (704) 384-9920
Fax: (704) 384-9925

The provider's authorized official is Geoffery K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-7606.

The enumeration date for this NPI number is 8/1/2005 and was last updated on 7/26/2013.


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
1207Q00000XFamily MedicineNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1790209NMEDICAIDNORTH CAROLINA
2NPA894MEDICAIDSOUTH CAROLINA
32343183BMEDICARE 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: 5/5/2024

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