Novant Medical Group, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Carolina Urology Care

Practice address

131 Medical Park Rd
Suite 305
Mooresville, NC 28117-8522

Phone

(704) 662-9870

Fax

(704) 662-9788

NPI assigned

Jun 6, 2008

Last updated

Apr 7, 2009By 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

Dinesh S. Pai

Title

VP of Operations

Phone

(704) 384-9104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Urology Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1356500177",
    "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": "131 MEDICAL PARK RD",
            "address_2": "SUITE 305",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178522",
            "telephone_number": "704-662-9870",
            "fax_number": "704-662-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2009-04-07",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Urology Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc (Novant Health Pulmonary & Critical Care)
• Novant Medical Group Inc (Primary Care Associates)
• Novant Medical Group, Inc (Novant Health Heart and Vascular Institute)
• Novant Medical Group, Inc. (Primary Care Associates)
• Novant Medical Group, Inc. (Primary Care Associates)
• Novant Medical Group, Inc. (Novant Health Huntersville Obstetrics & Gynecology)
• Novant Medical Group, Inc. (Hospitalists of Lake Norman)
• Novant Medical Group, Inc. (Mooresville Surgical Associates)
• Anne Marie Nowak, PT
• Nowell Care at Home, LLC Agency

• Urology Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.