Active NPI
Novant Medical Group, Inc
Doing business as Total Spine Specialists
- Orthopaedic Surgery Physician
- Monroe, NC
National Provider Identifier
1639479355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NOVANT MEDICAL GROUP, INC
- Doing business as
- Total Spine Specialists
- Practice address
- 1995 Wellness Blvd
BLDG B Suite 110
Monroe, NC 28110-7772 - Phone
- (704) 316-3030
- Fax
- (704) 316-3025
- NPI assigned
- Oct 28, 2010
- Last updated
- Jul 5, 2013
- 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. Geoffrey Gardner
- Title
- VP Finance
- Phone
- (704) 316-3030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Physical Medicine & Rehabilitation Physician | 208100000X | NU |
Addresses
Primary practice location
1995 Wellness Blvd
BLDG B Suite 110
Monroe, NC 28110-7772
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3030
Other names 1
- Total Spine Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000692 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 3,607 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1396734190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372982400000",
"number": "1639479355",
"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": "704-316-3030",
"fax_number": "704-316-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 WELLNESS BLVD",
"address_2": "BLDG B SUITE 110",
"city": "MONROE",
"state": "NC",
"postal_code": "281107772",
"telephone_number": "704-316-3030",
"fax_number": "704-316-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2013-07-05",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "704-316-3030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Spine Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe, NC
- Novant Health Medical Group, LLC (Novant Health Tele-Intensive Care)
- Novant Health Medical Group, LLC (Novant Health Carmel OB/GYN)
- Novant Health Medical Group, LLC (Novant Health Sleep Medicine)
- Novant Medical Group Inc (Novant Health Sleep Center)
- Novant Medical Group Inc (Novant Health Pulmonary and Critical Care)
- Novant Medical Group, Inc. (Center for Child & Adolescent Medicine-Monroe)
- Novant Medical Group, Inc. (Rocky River Family Physicians)
- Novant Medical Group, Inc. (Mid Carolina Cardiology)
- Novant Medical Group. Inc (Novant Health Gynecologic Oncology Associates)
- Susan E Nowak, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.