Novant Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

The Sandhills Medical Group

Practice address

722 E US Highway 74
Dba the Sandhills Medical Group
Rockingham, NC 28379-4981

Phone

(000) 000-0000

NPI assigned

Jul 17, 2008

Organization subpart

Yes

Parent organization

NOVANT MEDIAL GROUP, INCAs reported in NPPES

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

Addresses

Other names 1

• The Sandhills Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Presbyterian Inpt Care

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1306000559",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E US HIGHWAY 74",
            "address_2": "DBA THE SANDHILLS MEDICAL GROUP",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794981",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVANT MEDIAL GROUP, INC",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sandhills Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NC Mentor
• Tiffany Sophia Newton, LCAS
• Alex Micheal Tutts Norris, LCMHCA
• North Carolina CVS Pharmacy, L.L.C.
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• Novant Medical Group, Inc
• NP'S Millennial Care PLLC
• Kristine Lynn Nutt, LCSW, LCAS, CCS
• Marina Gale Odom, PHARMD
• Ok Nellz LLC

• Internal Medicine Physician in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.