Provider Type Icon

NOVANT MEDICAL GROUP INC NPI 1538400890


NPI Information

NPI: 1538400890
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH PROVIDENCE OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 34D0884581

Address:
1718 E 4TH ST
SUITE 907
CHARLOTTE, NC
ZIP 28204
Phone: (704) 372-4000
Get Directions

NOVANT MEDICAL GROUP INC is an obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NOVANT MEDICAL GROUP INC NPI is 1538400890. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novant Health Providence Ob/gyn.

The provider's business location address is:

1718 E 4TH ST
SUITE 907
CHARLOTTE, NC
ZIP 28204-261
Phone: (704) 372-4000
Fax: (704) 334-4855

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The CLIA number assigned to this NPI record is 34D0884581 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/12/2013 and was last updated on 8/16/2021.


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
1207V00000XObstetrics & GynecologyYes

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: 11/14/2023

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.