Provider Type Icon

NOVANT MEDICAL GROUP INC. NPI 1710480066


NPI Information

NPI: 1710480066
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: 34D2147546

Address:
1450 MATTHEWS TOWNSHIP PKWY STE 400
MATTHEWS, NC
ZIP 28105
Phone: (704) 316-5140
Get Directions

NOVANT MEDICAL GROUP, INC. is a geriatric medicine internal medicine in Matthews, 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 1710480066. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Novant Health Senior Care.

The provider's business location address is:

1450 MATTHEWS TOWNSHIP PKWY STE 400
MATTHEWS, NC
ZIP 28105-336
Phone: (704) 316-5140
Fax: (704) 316-5141

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 34D2147546 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2018 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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.