Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NOVANT MEDICAL GROUP INC
Active
Organization
NOVANT MEDICAL GROUP INC
Active
Other names
Novant Health Nutrition Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (VP FINANCE, NMG)
(336) 718-6770
Entity
Organization
Contact information
Practice address
4130 CLEMMONS RD, CLEMMONS, NC 27012-7520
(336) 277-1890
(336) 277-1889
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-1890
(336) 277-1889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295092856
—
NC
Enumeration date
04/19/2012
Last updated
12/18/2015
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