NPIMap

Organization Active NPI

Novant Health Rowan Medical Center LLC

Doing business as Novant Health Hospice

  • Community Based Hospice Care Agency
  • Salisbury, NC
National Provider Identifier
1386140945
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Doing business as
Novant Health Hospice
Practice address
1229 Statesville Blvd
Salisbury, NC 28144
Phone
(704) 210-7900
Fax
(704) 210-7901
NPI assigned
Apr 3, 2018
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Gary Alan Blabon
Title
President & Coo
Phone
(336) 277-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1229 Statesville Blvd
Salisbury, NC 28144

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-8757

Other names 1

  • NOVANT HEALTH HOSPICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718003189 NC Part A Provider - Hospice 3375452519 Practice locations: Salisbury, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386140945. Details of each certification follow.

Hospice certification: CCN 341601

Legal name
NOVANT HEALTH ROWAN MEDICAL CENTER LLC
Doing business as
NOVANT HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 3, 2018
Last certification
Dec 3, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1933 in NC
Enrollment address
1229 Statesville Blvd
Salisbury, NC 28144-2234

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Novant Health HospiceCCN 341601 · All quality measures
Ownership
Non-Profit
Certified
Dec 3, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2149187Novant Health Hospice1229 Statesville Boulevard, Salisbury, NC 28144Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rowan Memorial Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chetan N Amin Individual Corporate OfficerMedical Director Jan 1, 2024
W-2 Managing EmployeeMedical Director Jan 1, 2024
Gavin Isaac Misner Individual Corporate DirectorBot Member May 1, 2019
Emily Fink Individual Corporate Officer Jan 1, 2025
Wayne a Cline Individual Corporate DirectorBot Member Jan 1, 2020
Dawn McNair Individual Corporate Officer Jan 1, 2025
Mary Ponds Individual Corporate DirectorBot Vice Chair Jan 1, 2017
Hope Oliphant Individual Corporate Officer Jan 1, 2025
Jennifer N Ward Individual Corporate DirectorBot Member Jan 1, 2024
Perry David Hood Individual Corporate DirectorBot Sec Jan 1, 2019
Bruce D Jones Individual Corporate DirectorBot Member Jan 1, 2020
Jonathan Williams Individual Corporate Officer Jan 1, 2025
Eugene a Eline Individual Corporate OfficerBot Member May 1, 2023
David Kenan Smith Individual Corporate DirectorBot Member Jan 1, 2017
Rowan Health Services, LLC Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2018
Novant Health, Inc. Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2018
Edward Wagoner Individual Corporate DirectorBot Member Jan 1, 2019
Elia Gegorek Individual Corporate DirectorBot Member Jan 1, 2021
Michelle Patterson Individual Corporate DirectorBot Chair Jan 1, 2017
John Cleveland Everett Individual Corporate DirectorBot Treasurer Jan 1, 2018
Gary Alan Blabon Individual Corporate OfficerPres & Coo Interim Jun 22, 2019
Corporate DirectorBot Jan 1, 2019
W-2 Managing Employee Jun 22, 2019

Owners & managing parties with NPI records 4

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

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1386140945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD FL 3",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-8757",
            "fax_number": "336-718-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28144",
            "telephone_number": "704-210-7900",
            "fax_number": "704-210-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH ROWAN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BLABON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVANT HEALTH HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOVANT HEALTH HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.