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
Ocean Isle Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF OPERATIONS)
(704) 384-9094
Entity
Organization
Contact information
Practice address
120 CAUSEWAY DR, SUITE 4, OCEAN ISLE BEACH, NC 28469-7538
(910) 575-5242
(910) 575-5245
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 384-7840
(910) 575-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019T3
BCBS OF NC
NC
05
—
5908211
—
NC
01
—
DG7127
RAILROAD MEDICARE
NC
Enumeration date
07/27/2007
Last updated
07/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers