Active NPI
Novant Medical Group, Inc
- Family Medicine Physician
- Hamlet, NC
National Provider Identifier
1215191879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NOVANT MEDICAL GROUP, INC
- Doing business as
- The Sandhills Medical Group
- Practice address
- 1021 W Hamlet Ave Ste 5
Dba the Sandhills Medical Group
Hamlet, NC 28345-4523 - Phone
- (910) 582-5166
- Fax
- (910) 582-5166
- NPI assigned
- Jul 14, 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
- Dinesh S. Pai
- Title
- VP of Operations
- Phone
- (704) 384-9104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1021 W Hamlet Ave Ste 5
Dba the Sandhills Medical Group
Hamlet, NC 28345-4523
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 582-5166
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": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1215191879",
"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": "910-582-5166",
"fax_number": "910-582-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 W HAMLET AVE STE 5",
"address_2": "DBA THE SANDHILLS MEDICAL GROUP",
"city": "HAMLET",
"state": "NC",
"postal_code": "283454523",
"telephone_number": "910-582-5166",
"fax_number": "910-582-5166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOVANT MEDICAL GROUP, INC",
"enumeration_date": "2008-07-14",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "PAI",
"authorized_official_first_name": "DINESH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "704-384-9104"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.