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
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
108 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(704) 384-9679
(704) 316-0508
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/08/2007
Last updated
10/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up