Novant Health Medical Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

Novant Health Spine Specialists

Practice address

2801 Randolph Rd
Suite 100
Charlotte, NC 28211-1051

Phone

(704) 367-4800

Fax

(704) 316-3025

NPI assigned

Apr 11, 2006

Last updated

Jun 24, 2024By 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

Leea Jeanine Walton

Title

RCS Manager

Phone

(704) 316-6081

Specialties & licenses 2

Addresses

Other names 1

• Novant Health Spine Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Ziad Adel Hage, M.D.

  • Neurology Physician
  • Charlotte, NC
  • NPI 1720251887
  NPD
• Jacob Wang, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
  • NPI 1487064663
  NPD
• Paul J Tsahakis, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1770572570
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1720041593",
    "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": "704-367-4800",
            "fax_number": "704-316-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111051",
            "telephone_number": "704-367-4800",
            "fax_number": "704-316-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Spine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Heart and Vascular Institute)
• Novant Health Medical Group, LLC (Novant Health Presbyterian Internal Medicine)
• Novant Health Medical Group, LLC (Novant Health Mintview OB/GYN)
• Novant Health Medical Group, LLC (Novant Health Hallmark Care)
• Novant Health Medical Group, LLC (Novant Health Inpatient Rehabilitation Medicine)
• Novant Health Medical Group, LLC (Novant Health Heart and Vascular Institute)
• Novant Health Medical Group, LLC (Novant Health Psychiatry)
• Novant Health Medical Group, LLC (Novant Health Endocrinology)
• Novant Health Medical Group, LLC (Novant Health Palliative Care)
• Novant Health Medical Group, LLC (Novant Health Carmel OB/GYN)

• Orthopaedic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.

Verify at the official NPI Registry.