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Novant Health Rowan Medical Center, LLC

Organization Active NPI Psychiatric Hospital Unit · Salisbury, NC

NPI 1215900618 · NPPES record last updated Sep 29, 2025

Key facts

NPI
1215900618
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
Legal business name
NOVANT HEALTH ROWAN MEDICAL CENTER, LLC
Practice address
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone
(704) 210-5000
NPI assigned
Feb 8, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 12

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

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

Facilities with the same owner 27

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

View all 27

Practitioners 57

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

View all 57

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Hospital certification: CCN 34S015

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

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 Director
Bot Member		 Jan 1, 2015
Fred Steen
Individual 		Corporate Director
Bot Member		 Jan 1, 2018
Gavin Isaac Misner
Individual 		Corporate Director
Bot Member		 May 1, 2019
Jack Van Der Poel
Individual 		Corporate Director
Bot Member		 Jan 1, 2018
Wayne a Cline
Individual 		Corporate Director
Bot Member		 Jan 1, 2020
Mary Ponds
Individual 		Corporate Director
Bot Vice Chair		 Jan 1, 2017
Perry David Hood
Individual 		Corporate Director
Bot Sec		 Jan 1, 2019
Bruce D Jones
Individual 		Corporate Director
Bot Member		 Jan 1, 2020
Abayomi Agbebi
Individual 		Corporate Director
Bot Member		 Mar 30, 2022
David Kenan Smith
Individual 		Corporate Director
Bot 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 Director
Bot Member		 Jan 1, 2019
Elia Gegorek
Individual 		Corporate Director
Bot Member		 Jan 1, 2021
Michelle Patterson
Individual 		Corporate Director
Bot Chair		 Jan 1, 2017
John Cleveland Everett
Individual 		Corporate Director
Bot Treasurer		 Jan 1, 2018
Matthew K Storey
Individual 		Corporate Director
Bot Member		 Jan 1, 2020
Dwight Richard Locklear
Individual 		Corporate Director
Bot Member		 Jan 1, 2015
Gary Alan Blabon
Individual 		Corporate Officer
Pres & Coo Interim		 Jun 22, 2019
Corporate Director
Bot		 Jan 1, 2019
W-2 Managing Employee Jun 22, 2019

Medicare enrollment records

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

National Provider Directory

Tax ID family
Rowan Regional Med Cent (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Yes
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

  • Psychiatric Unit Doing business as

Other providers in Salisbury, NC

All providers in Salisbury, NC · Psychiatric Hospital Unit in North Carolina

Sources for this page

Verify at the official NPI Registry.