Organization Active NPI

Novant Medical Group Inc

  • Internal Medicine Physician
  • Louisburg, NC
National Provider Identifier
1942522008
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Apr 20, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.