Novant Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT MEDICAL GROUP INC

Doing business as

Novant Health Oceanside Family Medicine

Practice address

710 Sunset Blvd N
Suite B
Sunset Beach, NC 28468-4345

Phone

(910) 721-4100

Fax

(910) 721-4101

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By 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

Mr. Geoffrey Keith Gardner

Title

VP Finance

Phone

(910) 721-4100

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Oceanside Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Julio H Reyes, MD

  • Surgery Physician
  • Winston Salem, NC
  • NPI 1972555621
  NPD

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1821428525",
    "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": "910-721-4100",
            "fax_number": "910-721-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N",
            "address_2": "SUITE B",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684345",
            "telephone_number": "910-721-4100",
            "fax_number": "910-721-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "910-721-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Oceanside Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLeod Physician Associates II (McLeod Vascular Associates Seacoast)
• McLeod Physician Associates II (McLeod Cardiology Associates)
• Joan Hanlon Morris
• Dennis Ryan Napier, DPT
• Cindy Ni, PHARMD
• Novant Medical Group, Inc (Novant Health Seaside Family Medicine)
• Novant Medical Group, Inc. (Sunset Beach Family Medical)
• Ryleigh Pabon, DPT ATC
• Joshua Cole Pridgen, DPT
• Amanda Rae Ruda, PTA

• Family Medicine Physician in Sunset Beach, NC
• Providers in Sunset Beach, NC by specialty
• Family Medicine Physician in North Carolina

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

Verify at the official NPI Registry.