NPIMap

Organization Active NPI

Novant Health Rowan Medical Center, LLC

Doing business as Psychiatric Unit

  • Psychiatric Hospital Unit
  • Salisbury, NC
National Provider Identifier
1215900618
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
NOVANT HEALTH ROWAN MEDICAL CENTER, LLC
Doing business as
Psychiatric Unit
Practice address
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone
(704) 210-5000
NPI assigned
Feb 8, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mr. Gary A Blabon
Title
Pres/Coo
Phone
(336) 277-8757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X H0040 NC

Addresses

Primary practice location

612 Mocksville Ave
Salisbury, NC 28144-2732

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-7226

Other names 1

  • Psychiatric Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000451 NC Part A Provider - Hospital 3375452519 Practice locations: Salisbury, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215900618. Details of each certification follow.

Hospital certification: CCN 34S015

Legal name
NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Doing business as
PSYCHIATRIC UNIT
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2008 in NC
Enrollment address
612 Mocksville Ave
Salisbury, NC 28144-2732
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Rowan Medical13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Avery Mallett Individual Corporate DirectorBot Member Jan 1, 2015
Fred Steen Individual Corporate DirectorBot Member Jan 1, 2018
Gavin Isaac Misner Individual Corporate DirectorBot Member May 1, 2019
Jack Van Der Poel Individual Corporate DirectorBot Member Jan 1, 2018
Wayne a Cline Individual Corporate DirectorBot Member Jan 1, 2020
Mary Ponds Individual Corporate DirectorBot Vice Chair Jan 1, 2017
Perry David Hood Individual Corporate DirectorBot Sec Jan 1, 2019
Bruce D Jones Individual Corporate DirectorBot Member Jan 1, 2020
Abayomi Agbebi Individual Corporate DirectorBot Member Mar 30, 2022
David Kenan Smith Individual Corporate DirectorBot Member Jan 1, 2017
Rowan Health Services, LLC Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2008
Novant Health, Inc. Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2008
Edward Wagoner Individual Corporate DirectorBot Member Jan 1, 2019
Elia Gegorek Individual Corporate DirectorBot Member Jan 1, 2021
Michelle Patterson Individual Corporate DirectorBot Chair Jan 1, 2017
John Cleveland Everett Individual Corporate DirectorBot Treasurer Jan 1, 2018
Matthew K Storey Individual Corporate DirectorBot Member Jan 1, 2020
Dwight Richard Locklear Individual Corporate DirectorBot Member Jan 1, 2015
Gary Alan Blabon Individual Corporate OfficerPres & Coo Interim Jun 22, 2019
Corporate DirectorBot Jan 1, 2019
W-2 Managing Employee Jun 22, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1215900618",
    "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": "336-277-7226",
            "fax_number": "336-277-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442732",
            "telephone_number": "704-210-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH ROWAN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BLABON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES/COO",
        "authorized_official_telephone_number": "336-277-8757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.