NOVANT MEDICAL GROUP INC NPI 1700040375

NPI Information

NPI: 1700040375
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH PERRY MEDDERS MEDICAL GROUP

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
205 SANDALWOOD AVE
SUITE A
LOUISBURG, NC
ZIP 27549
Phone: (919) 496-4250
Get Directions

NOVANT MEDICAL GROUP INC is a pulmonary disease internal medicine in Louisburg, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NOVANT MEDICAL GROUP INC NPI is 1700040375. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Perry Medders Medical Group.

The provider's business location address is:

205 SANDALWOOD AVE
SUITE A
LOUISBURG, NC
ZIP 27549-679
Phone: (919) 496-4250
Fax: (919) 496-1515

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (919) 496-4250.

The enumeration date for this NPI number is 7/14/2008 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

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
1	2319872	MEDICARE PIN	NORTH CAROLINA
2	5911436	MEDICAID	NORTH CAROLINA
3	CC5118	OTHER	NORTH CAROLINA	RAILROAD MEDICARE

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »