Active NPI
Novant Medical Group, Inc.
Doing business as Novant Health Carmel OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1891234084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NOVANT MEDICAL GROUP, INC.
- Doing business as
- Novant Health Carmel OB/GYN
- Practice address
- 7903 Providence Rd
Suite 100
Charlotte, NC 28277-9720 - Phone
- (704) 316-2021
- Fax
- (704) 316-2025
- NPI assigned
- Feb 21, 2017
- Last updated
- Feb 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoffery K. Gardner
- Title
- VP of Finance
- Phone
- (704) 316-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
7903 Providence Rd
Suite 100
Charlotte, NC 28277-9720
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2021
Other names 1
- Novant Health Carmel OB/GYN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000692 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 3,607 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1083604284
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1881126027
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1598175382
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1831198134
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1255321469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1891234084",
"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": "704-316-2021",
"fax_number": "704-316-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7903 PROVIDENCE RD",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779720",
"telephone_number": "704-316-2021",
"fax_number": "704-316-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "GEOFFERY",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "704-316-2021"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Carmel OB/GYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Novant Medical Group, Inc. (Novant Health Randolph OB/GYN)
- Novant Medical Group, Inc. (Presbyterian Women's Health Center)
- Novant Medical Group, Inc. (Mid Carolina Cardiology - Ballantyne)
- Novant Medical Group, Inc. (Novant Health Orthopedics & Sports Medicine)
- Novant Medical Group, Inc. (Novant Health Providence OB/GYN)
- Novant Medical Group, Inc. (Novant Health Pediatric Neurology)
- Novant Medical Group, Inc. (Novant Health Gynecologic Oncology Associates)
- Novant Medical Group, Inc. (Novant Health Blume Pediatric Hematology & Oncology)
- Novant Medical Group, Inc. (Novant Health Primary Care Mint Hill)
- Novant Medical Group, Inc. (Novant Health Southeast OB/GYN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.