Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Mint Hill Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VP OF OPERATIONS)
(704) 384-9113
Entity
Organization
Contact information
Practice address
11304 HAWTHORNE DR, SUITE 100, CHARLOTTE, NC 28227
(704) 384-8760
(704) 384-8783
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7607
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275V
BCBS-NC
NC
05
—
890275V
—
NC
01
—
CC5118
RAILROAD MEDICARE
NC
Enumeration date
05/16/2006
Last updated
08/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up