Active NPI
Novant Medical Group, Inc.
Doing business as Central Carolina Neurology and Sleep
- Neurology Physician
- Salisbury, NC
National Provider Identifier
1629214309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NOVANT MEDICAL GROUP, INC.
- Doing business as
- Central Carolina Neurology and Sleep
- Practice address
- 911 W Henderson St
Suite L 30
Salisbury, NC 28144-2736 - Phone
- (704) 637-3145
- Fax
- (704) 637-0470
- NPI assigned
- Dec 30, 2008
- Last updated
- Jun 19, 2009
- 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
- Mr. Dinesh S Pai
- Title
- VP of Operations
- Phone
- (704) 384-9104
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | NU |
Addresses
Primary practice location
911 W Henderson St
Suite L 30
Salisbury, NC 28144-2736
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911337 | Medicaid | NC |
Other names 1
- Central Carolina Neurology and Sleep
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204001028 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 648 practitioners This NPI is an additional NPI on the enrollment Practice locations: Denver, NC; High Point, NC; Huntersville, NC; Indian Trail, NC; Matthews, NC; Monroe, NC; Mooresville, NC; Salisbury, NC… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1629214309",
"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": "704-384-7840",
"fax_number": "704-384-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W HENDERSON ST",
"address_2": "SUITE L 30",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442736",
"telephone_number": "704-637-3145",
"fax_number": "704-637-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-30",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "PAI",
"authorized_official_first_name": "DINESH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "704-384-9104",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911337",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Carolina Neurology and Sleep",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salisbury, NC
- Novant Medical Group, Inc. (Novant Health Diabetes Management)
- Novant Medical Group, Inc. (Novant Inpatient Care Specialists - Rowan)
- Novant Medical Group, Inc. (Rowan Medical Clinic)
- Novant Medical Group, Inc. (Novant Health Pelvic Health Center)
- Novant Medical Group, Inc. (Rowan Rheumatology & Arthritis)
- Novant Medical Group, Inc. (Rowan Psychiatric Associates)
- Novant Medical Group, Inc. (Novant Health Spine Specialists)
- Novant Medical Group, Inc. (RoMedical Care)
- Novant Medical Group, Inc. (Novant Health Rehabilitation Medicine)
- Novant Medical Group, Inc. (Novant Health Diabetes & Nutrition)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.