Novant Medical Group, Inc.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Carolina Family Practice & Sports Medicine

Practice address

3700 NW Cary Pkwy
Suite 110
Cary, NC 27513-8446

Phone

(919) 238-2000

Fax

(919) 238-5010

NPI assigned

Apr 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dinesh S. Pai

Title

VP Operations

Phone

(704) 384-7607

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carolina Family Practice & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1720251044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "919-238-2000",
            "fax_number": "919-238-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW CARY PKWY",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138446",
            "telephone_number": "919-238-2000",
            "fax_number": "919-238-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "704-384-7607"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE MEDICARE-PARTNERS",
            "identifier": "1720251044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "020GY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Family Practice & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rasha Nouh, PHARMD
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• Alyse November, PH.D., L.C.S.W.
• Erika Nicole Nowlin
• Nakumia Lynn Nowlin, LCMHC
• Nu Mobile Transport Inc
• Anne Marie Nuechterlein, PHD

• Sports Medicine (Family Medicine) Physician in Cary, NC
• Providers in Cary, NC by specialty
• Sports Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.