Novant Medical Group. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT MEDICAL GROUP. INC.

Doing business as

Novant Health Express Care

Practice address

1122 Randolph St Ste 110
Thomasville, NC 27360-5730

Phone

(336) 474-3433

Fax

(336) 474-3279

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By 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

Shala Davis

Title

RCS Manager

Phone

(704) 316-7845

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Express Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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.

• Leilani Cezar Jumawid

  • Nurse Practitioner
  • King, NC
  • NPI 1871900548
  NPD
• Ashley McLain Redmond, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1720494701
  NPD
• Jamie Lynn Russell, NURSE PRACTITIONER

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1811347586
  NPD
• Tiffany Lewis Scheib, P.A.

  • Physician Assistant
  • Shallotte, NC
  • NPI 1487960597
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1457828071",
    "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": "1122 RANDOLPH ST STE 110",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605730",
            "telephone_number": "336-474-3433",
            "fax_number": "336-474-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHALA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-7845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group, Inc (Novant Health Davidson Ear, Nose, Throat & Sinus)
• Novant Medical Group, Inc (Novant Health Orthopedics & Sports Medicine)
• Novant Medical Group, Inc (Romedical Care)
• Novant Medical Group, Inc. (Novant Health Brain and Spine Surgery)
• Novant Medical Group, Inc.
• Novant Medical Group. Inc. (Novant Health Diabetes & Nutrition)
• Erin Steffey O'Neill, FNP-C
• Devin Marie Oates
• Adebayo Adepoju Odedere, PRESIDENT
• Chima Davis Ohadugha

• Family Medicine Physician in Thomasville, NC
• Providers in Thomasville, 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 Nov 1, 2018; 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.