Novant Medical Group, Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Novant Health Orthopedics & Sports Medicine

Practice address

400 Mocksville Ave
Salisbury, NC 28144-2740

Phone

(704) 633-6044

Fax

(336) 277-7722

NPI assigned

Mar 13, 2014

Last updated

Oct 29, 2015By 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

Geoffrey K Gardner

Title

VP of Finance

Phone

(704) 384-7606

Specialties & licenses 2

Addresses

Other names 1

• Novant Health Orthopedics & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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.

• Mallory Williams Grose, ANP-C

  • Nurse Practitioner
  • Mount Airy, NC
  • NPI 1093089575
  NPD
• Lindsey Brooke Hawks, PA C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1396898714
  NPD

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1841616950",
    "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": "704-633-6044",
            "fax_number": "336-277-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442740",
            "telephone_number": "704-633-6044",
            "fax_number": "336-277-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2015-10-29",
        "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": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc (Novant Health Rowan Pediatrics)
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• Novant Medical Group, Inc (Southeast Bariatrics)
• Novant Medical Group, Inc (Novant Health Oncology Specialists)
• Novant Medical Group, Inc (Novant Health Pinnacle Orthopedics)
• Novant Medical Group, Inc. (Novant Health Orthopedics & Sports Medicine)
• Novant Medical Group, Inc. (Novant Health Urgent Care and Occupational Medicine)
• Novant Medical Group, Inc. (Novant Health Diabetes Management)
• Novant Medical Group, Inc. (Novant Inpatient Care Specialists - Rowan)
• Novant Medical Group, Inc. (Rowan Medical Clinic)

• Sports Medicine (Orthopaedic Surgery) Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.