Novant Health Rowan Medical Center LLC
Organization Active NPI Neurology Physician · Salisbury, NC
NPI 1508931544 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1508931544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- NOVANT HEALTH ROWAN MEDICAL CENTER LLC
- Practice address
- 612 Mocksville Ave.
Salisbury, NC 28144-2732 - Phone
- (704) 210-5000
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Gary Blabon
- Title
- President & Coo
- Phone
- (336) 277-8757
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 12
Practitioners 706
-
Swetha Rao Arshanapally, M.D.
-
Madan Raj Aryal, MD
-
Adam Norman Beam, CRNA
-
Amy Andersen Bush, APRN
-
Lauren Robinson Byrd, CRNA
-
Karen Alden Carson, ANP
-
Michael Merritt Collins, M.D.
-
Ronald C Deatley, CRNA
-
Toby Rae Devore, CRNA
-
Kelly Hill Garmon, CRNA
-
Melissa Sue Gerolimatos, CRNA
-
Robert Franklin Hall III, CRNA
-
Sarah Margaret Horvath, CRNA
-
Kevin Hsu, MD
-
Jalal Shoukri Kablan, CRNA
-
Apur Ramesh Kamdar, M.D.
-
Telly Ali Meadows, M.D.
-
Jane Elizabeth Nymberg, CRNA
-
Nancy Marinette Rierson, MSN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040422001655 | NC | Part B Supplier - Clinic/Group Practice | 3375452519 |
Receives reassigned benefits from 703 practitioners 4 other NPIs on this enrollment Practice locations: Salisbury, NC; Statesville, NC |
National Provider Directory
- Tax ID family
- Rowan Regional Med Cent
Locations
631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
612 Mocksville Ave.
Salisbury, NC 28144-2732
Mailing address
2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-8757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000200 | Medicaid | NC | |
| 8902197 | Medicaid | NC |
Other providers in Salisbury, NC
- Novant Health Rowan Medical Center LLC
- Novant Health Rowan Medical Center LLC
- Novant Health Rowan Medical Center LLC
- Novant Health Rowan Medical Center LLC
- Novant Health Rowan Medical Center LLC
- Novant Health Rowan Medical Center, LLC
- Novant Health Rowan Medical Center, LLC
- Novant Health Rowan Medical Center, LLC
- Novant Health Rowan Medical Center, LLC
- Novant Medical Group Inc
All providers in Salisbury, NC · Neurology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.