Novant Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Total Spine Specialists

Practice address

3614 Providence Rd S
Suite 200
Waxhaw, NC 28173-6310

Phone

(704) 367-4800

Fax

(704) 316-3025

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey Gardner

Title

VP Finance

Phone

(704) 384-9490

Specialties & licenses 2

Addresses

Other names 1

• Total Spine Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1275837411",
    "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": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 PROVIDENCE RD S",
            "address_2": "SUITE 200",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736310",
            "telephone_number": "704-367-4800",
            "fax_number": "704-316-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-384-9490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Spine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Marie Norton, BS.
• Novant Health Medical Group, LLC (Novant Health Psychiatry)
• Novant Health Medical Group, LLC (Novant Health Child and Adolescent Medical Group)
• Novant Health Medical Group, LLC (Novant Health Waxhaw Family & Sports Medicine)
• Novant Health Medical Group, LLC (Novant Health Neurology and Sleep)
• Novant Medical Group, Inc. (Presbyterian Psychiatric Associates)
• Novant Medical Group, Inc. (Novant Health Primary Care Marvin Creek)
• Isioma Nwaeme-Ngidi, FNP
• Stephanie Wolla O'Connell, DPT
• Taylor Rae O'Toole, OTR/L

• Orthopaedic Surgery Physician in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.

Verify at the official NPI Registry.