Novant Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Adult Medicine at Piedmont Crossing

Practice address

100 Hedrick Dr
Thomasville, NC 27360-6009

Phone

(336) 474-3777

Fax

(336) 474-8932

NPI assigned

Apr 14, 2011

Last updated

Nov 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Geoffrey Gardner

Title

VP Finance

Phone

(704) 384-9094

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Medicine at Piedmont Crossing Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hytham M Imseis, MD

  • Maternal & Fetal Medicine Physician
  • Charlotte, NC
  • NPI 1588768188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1023308707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEDRICK DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606009",
            "telephone_number": "336-474-3777",
            "fax_number": "336-474-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-384-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917805",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Medicine at Piedmont Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Novant Medical Group, Inc (Novant Health Pinnacle Orthopedics)
• Novant Medical Group, Inc (Novant Health Thomasville OBGYN)
• Novant Medical Group, Inc (Novant Health Pediatric Cardiology Thomasville)
• Novant Medical Group, Inc (Novant Health Davidson Ear, Nose, Throat & Sinus)
• Novant Medical Group, Inc (Novant Health Orthopedics & Sports Medicine)

• Family Medicine Physician in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.