Novant Medical Group, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Orthopaedic Specialists

Practice address

902 North Howe Street
Southport, NC 28461-3038

Phone

(910) 457-4789

NPI assigned

Jan 8, 2008

Last updated

Jun 27, 2011By 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

Michelle Grier

Title

Senior VP Coo of NMG

Phone

(704) 384-7607

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthopaedic Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Novant Health Medical Group, LLC

  dba Novant Health Neurology and Sleep

  • Neurology Physician
  • Salisbury, NC
  • NPI 1447496120

  O20080207000174

  Same enrollment
• Novant Health Medical Group, LLC

  dba Novant Health Village Family Care

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1659571768

  O20080207000174

  Same enrollment

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1043495005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NORTH HOWE STREET",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SENIOR VP COO OF NMG",
        "authorized_official_telephone_number": "704-384-7607"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908887",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07382)
• North Carolina Shoulder and Elbow Surgery and Sports Medicine
• Novant Health Medical Group, LLC (Novant Health Surgical Associates)
• Novant Health Medical Group, LLC (Novant Health Coastal Plastic Surgery)
• Novant Medical Group Inc (Novant Health Urology Partners)
• Novant Medical Group, Inc. (Southport Internal Medicine)
• Novant Medical Group, Inc. (Novant Urgent Care Southport)
• Novant Medical Group, Inc. (Heart Specialists of Brunswick)
• Novant Medical Group, Inc. (James B. Adams, MD Internal Medicine)
• Edgar E Null, FNP-C

• Orthopaedic Surgery Physician in Southport, NC
• Providers in Southport, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.