Active NPI
Novant Medical Group Inc
- Family Medicine Physician
- Richburg, SC
National Provider Identifier
1497918908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NOVANT MEDICAL GROUP INC
- Practice address
- 3909 Lancaster Hwy
Richburg, SC 29729-9053 - Phone
- (803) 789-5221
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dinesh S Pai
- Title
- VP Operations
- Phone
- (704) 384-7607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3909 Lancaster Hwy
Richburg, SC 29729-9053
Mailing address
3909 Lancaster Hwy
Richburg, SC 29729-9053
Phone (803) 789-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4943 | Medicaid | SC |
Other names 1
- Catawba Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061212000240 | SC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 23 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Mill, SC; Indian Land, SC |
Other NPIs on the same Medicare enrollment 37
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Indian Land, SC
- NPI 1245335421
O20061212000240
-
- Pain Medicine (Anesthesiology) Physician
- Fort Mill, SC
- NPI 1528923091
O20061212000240
-
- Obstetrics & Gynecology Physician
- Fort Mill, SC
- NPI 1750253928
O20061212000240
-
- Cardiovascular Disease Physician
- Gaffney, SC
- NPI 1679839443
O20061212000240
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1497918908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 LANCASTER HWY",
"city": "RICHBURG",
"state": "SC",
"postal_code": "297299053",
"telephone_number": "803-789-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 LANCASTER HWY",
"city": "RICHBURG",
"state": "SC",
"postal_code": "297299053",
"telephone_number": "803-789-5221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "PAI",
"authorized_official_first_name": "DINESH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "704-384-7607"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4943",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catawba Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Richburg, SC
- Lewisville Medical Center Incorporated
- Lewisville Medical Center, Inc.
- Medical University Hospital Authority
- MH Health Care Services, PC
- Allison Meadows Newton, MSN, APRN, FNP-BC
- Novant Medical Group, Inc.
- Swapna Paladugu, MD
- Meaghan Pedlow, NP
- PMC Physician Network, LLC
- Richburg Discount Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.