Active NPI
Novant Medical Group Inc
- Internal Medicine Physician
- Louisburg, NC
National Provider Identifier
1942522008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NOVANT MEDICAL GROUP INC
- Practice address
- 100 Hospital Dr
Louisburg, NC 27549-2256 - Phone
- (919) 497-8048
- Fax
- (919) 606-8683
- NPI assigned
- Feb 17, 2010
- 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
- Michele Grier
- Title
- SVP & Coo NMG
- Phone
- (336) 277-2421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
100 Hospital Dr
Louisburg, NC 27549-2256
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (919) 497-8048
Other names 1
- Novant Inpatient Care Specialists Louisburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
1029 N Howe St
Ste 100A
Southport, NC 28461
Phone (910) 457-5597
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1285953125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1942522008",
"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": "919-497-8048",
"fax_number": "919-606-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492256",
"telephone_number": "919-497-8048",
"fax_number": "919-606-8683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "GRIER",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "SVP & COO NMG",
"authorized_official_telephone_number": "336-277-2421"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Inpatient Care Specialists Louisburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.