Novant Medical Group, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Novant Health Davidson Ear, Nose, Throat & Sinus

Practice address

1213 Lexington Ave
Thomasville, NC 27360-3416

Phone

(336) 472-1300

Fax

(336) 472-1302

NPI assigned

Jun 14, 2010

Last updated

Nov 29, 2013By 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

Geoffrey Gardner

Title

VP of Finance

Phone

(336) 472-1300

Specialties & licenses 2

Addresses

Other names 1

• Novant Health Davidson Ear, Nose, Throat & Sinus Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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.

• Phillip David Khan, M.D.

  • Plastic Surgery Physician
  • Southport, NC
  • NPI 1205035102
  NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1477874592",
    "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": "336-472-1300",
            "fax_number": "336-472-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603416",
            "telephone_number": "336-472-1300",
            "fax_number": "336-472-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "336-472-1300"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Davidson Ear, Nose, Throat & Sinus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc (Novant Health Pinnacle Ear, Nose, Throat, and Allergy)
• Novant Medical Group, Inc (Adult Medicine at Piedmont Crossing)
• Novant Medical Group, Inc (Novant Health Pinnacle Orthopedics)
• Novant Medical Group, Inc (Novant Health Thomasville OBGYN)
• Novant Medical Group, Inc (Novant Health Pediatric Cardiology Thomasville)
• 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 Express Care)

• Otolaryngology Physician in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.