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Novant Medical Group, Inc.

Organization Active NPI Neonatal-Perinatal Medicine Physician · Charlotte, NC

NPI 1154364172 · NPPES record last updated Jun 9, 2008

Key facts

NPI
1154364172
Entity type
Organization (NPI type 2)
Primary specialty
Neonatal-Perinatal Medicine Physician 2080N0001X
Legal business name
NOVANT MEDICAL GROUP, INC.
Practice address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone
(704) 384-6296
Fax
(704) 384-6533
NPI assigned
Jun 14, 2006
Organization subpart
No

Authorized official

Name
Dinesh S. Pai
Title
VP of Operations
Phone
(704) 384-9104

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Presbyterian Inpt Care (503 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2080N0001X NC Yes

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204-2515

Mailing address

1900 Randolph Rd
Suite 500
Charlotte, NC 28207-1106
Phone (704) 384-9113

Other identifiers

IdentifierTypeStateIssuer
5900494MedicaidNC
NPB140MedicaidSC

Other names

  • Presbyterian Newborn Specialists Doing business as

Other providers in Charlotte, NC

All providers in Charlotte, NC · Neonatal-Perinatal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.