Novant Medical Group, Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Novant Health Oncology Specialists

Practice address

516 S Van Buren Rd
Eden, NC 27288-5019

Phone

(336) 623-9713

Fax

(336) 623-1031

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Geoffrey K Gardner

Title

VP of Finance

Phone

(704) 384-7606

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Oncology Specialists 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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1821463027",
    "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": "336-623-9713",
            "fax_number": "336-623-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885019",
            "telephone_number": "336-623-9713",
            "fax_number": "336-623-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "704-384-7606"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Oncology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Hope Solutions & Wellness Center
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• Cynthia Lou Newby, REGISTERED NURSE RN
• NMG Affilate Practice I LLC
• North Carolina CVS Pharmacy LLC
• Ikenna B Okafor, PHARMD
• Opies of Eden
• Heidi Anne Orme, MS, CRNA
• Hagan E. Pace, NP
• Sandeep Raj Pandit, M. D.

• Hematology & Oncology Physician in Eden, NC
• Providers in Eden, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.