Novant Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Practice address

2670 Mills Park Dr
Rock Hill, SC 29732-8599

Phone

(803) 985-3939

Fax

(803) 985-3929

NPI assigned

May 3, 2006

Organization subpart

No

Name

Dinesh S. Pai

Title

VP of Operations

Phone

(704) 384-9104

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Rock Hill, SC
  • NPI 1649227083

  O20051115000335

  Same enrollment
• Novant Medical Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Rock Hill, SC
  • NPI 1033566278

  O20051115000335

  Same enrollment
• Novant Medical Group, Inc.

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1205899861

  O20051115000335

  Same enrollment
• Novant Medical Group, Inc.

  • Family Medicine Physician
  • Clover, SC
  • NPI 1376593590

  O20051115000335

  Same enrollment
• Novant Medical Group, Inc.

  • Family Medicine Physician
  • York, SC
  • NPI 1922060557

  O20051115000335

  Same enrollment
• Novant Health Medical Group, LLC

  • Pulmonary Disease Physician
  • Monroe, NC
  • NPI 1033664933

  O20051115000335

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in SC

• Metrolina Medical Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2008.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1790743474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-985-3939",
            "fax_number": "803-985-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-985-3939",
            "fax_number": "803-985-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-08-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903556",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4413",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrolina Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Prep II LLC
• Novant Health Prep II LLC
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Atia Marie Liaghat Nunnally, MSN, APRN, FNP-C
• Nursing Homes Services, LLC
• Myo M Nwe, MD
• Ashley O'Brien, LPC

• All providers in Rock Hill, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.