Novant Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT MEDICAL GROUP INC

Doing business as

Carolina Coast Family Medicine

Practice address

5058 Wrightsville Ave
Wilmington, NC 28403-7048

Phone

(910) 791-5426

Fax

(910) 799-2433

NPI assigned

Jun 27, 2008

Last updated

Apr 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey K Gardner

Title

VP of Finance

Phone

(704) 384-9094

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Coast Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

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.

• Ruben Chan, MD

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1922067321
  NPD
• Ray Feaster, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366416877
  NPD
• Michael Richard Metcalf, MD

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1619946472
  NPD
• Tabita Morris, MD

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1740593003

  Family Medicine

  NPD
• Zachary John Anderson, M.D.

  • Family Medicine Physician
  • Denver, CO
  • NPI 1013925767
  NPD

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1285896670",
    "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",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037048",
            "telephone_number": "910-791-5426",
            "fax_number": "910-799-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "704-384-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950524",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Coast Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Novant Health New Hanover Regional Medical Center LLC (Nhnhrmc Physician Group the Care Team)
• Novant Health New Hanover Regional Medical Center LLC (Novant Health New Hanover Wound Care and Hyperbaric Medicine Profee)
• Novant Health New Hanover Regional Medical Center LLC (Nhnhrmc Physician Group Coastal OB/GYN & Midwifery)
• Novant Health Wilmington Endoscopy Center LLC (Novant Health Wilmington Endoscopy Center)
• Novant Medical Group, Inc. (Cape Fear OB/GYN)
• Novant Medical Group, Inc. (Azalea Coast Family Medicine)
• Susan Gail Novello, L.P.C.
• Pamela Novosel, MD
• Timothy James Novosel, MD

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.