Active NPI
Novant Medical Group, Inc.
Doing business as The Sandhills Medical Group
- Internal Medicine Physician
- Hamlet, NC
National Provider Identifier
1104074772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NOVANT MEDICAL GROUP, INC.
- Doing business as
- The Sandhills Medical Group
- Practice address
- 1000 W Hamlet Ave
Hamlet, NC 28345-4522 - Phone
- (910) 205-7775
- Fax
- (910) 205-7796
- NPI assigned
- Sep 8, 2008
- Organization subpart
- Yes
- Parent organization
- NOVANT MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dinesh Pai
- Title
- Enrollment Coordinator
- Phone
- (704) 384-9104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1000 W Hamlet Ave
Hamlet, NC 28345-4522
Mailing address
1000 W Hamlet Ave
Hamlet, NC 28345-4522
Other names 1
- The Sandhills Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000692 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 3,607 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Presbyterian Inpt Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1104074772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W HAMLET AVE",
"city": "HAMLET",
"state": "NC",
"postal_code": "283454522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W HAMLET AVE",
"city": "HAMLET",
"state": "NC",
"postal_code": "283454522",
"telephone_number": "910-205-7775",
"fax_number": "910-205-7796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOVANT MEDICAL GROUP, INC.",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "PAI",
"authorized_official_first_name": "DINESH",
"authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "704-384-9104",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Sandhills Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamlet, NC
- Novant Medical Group Inc (The Sandhills Medical Group)
- Novant Medical Group, Inc (The Sandhills Medical Group)
- Novant Medical Group, Inc (The Sandhills Medical Group)
- Novant Medical Group, Inc (The Sandhills Medical Group)
- Novant Medical Group, Inc (The Sandhills Medical Group)
- Novant Medical Group, Inc. (Sandhills Medical Group)
- Sylvannah Orr, LPC-A
- Orthocarolina, PA
- Overflow Counseling and Consulting
- Brandi Hammonds Oxendine, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.