Novant Medical Group, Inc.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Novant Health Cancer Institute

Practice address

3515 W Market St Ste 310
Greensboro, NC 27403-4442

Phone

(336) 564-4170

Fax

(336) 564-4936

NPI assigned

May 1, 2019

Last updated

Aug 18, 2021By 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

Shala Davis

Title

RCS Manager

Phone

(704) 303-7517

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Cancer Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Joanne Minish Garner, FNP

  • Nurse Practitioner
  • Mount Airy, NC
  • NPI 1982037941
  NPD
• Jan Suliman Moreb, MD

  • Hematology (Internal Medicine) Physician
  • Winston Salem, NC
  • NPI 1295774164

  Hematology & Oncology

  NPD
• Elizabeth Naisang Skinner, MD

  • Gynecologic Oncology Physician
  • Winston Salem, NC
  • NPI 1558314369
  NPD

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1659936011",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W MARKET ST STE 310",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034442",
            "telephone_number": "336-564-4170",
            "fax_number": "336-564-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHALA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-303-7517"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Thomasville Medical Center, LLC
• Novant Medical Group Inc. (Novant Health Triad Endocrine)
• Novant Medical Group, Inc (Novant Health Ironwood Family Medicine)
• Novant Medical Group, Inc. (Novant Health Breast Surgery)
• Novant Medical Group, Inc. (Novant Health Express Care)
• Novant Medical Group, Inc. (Family Medicine at Revolution Mill)
• Novant Medical Group, Inc. (Greensboro Cardiology Associates)
• Novant Medical Group, Inc. (Novant Health Occupational Medicine)
• Novant Medical Group. Inc (Novant Health Orthopedics & Sports Medicine)
• Novir, LLC

• Gynecologic Oncology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Gynecologic Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.