NPIMap

Organization Active NPI

Novant Health Northern Regional Medical Center, LLC

Doing business as Novant Health Rehabilitation Center

  • Orthopaedic Surgery Physician
  • Mount Airy, NC
National Provider Identifier
1205748928
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Doing business as
Novant Health Rehabilitation Center
Practice address
314 S South St Ste 100
Mount Airy, NC 27030-4599
Phone
(336) 719-7129
NPI assigned
Sep 18, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Beverly Euart
Title
Facility Credentialing
Phone
(336) 277-8757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

314 S South St Ste 100
Mount Airy, NC 27030-4599

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-8757

Other names 1

  • Novant Health Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Northern Regional Medical Center LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1205748928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD FL 3",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SOUTH ST STE 100",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304599",
            "telephone_number": "336-719-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "EUART",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "FACILITY CREDENTIALING",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.