# NOANT MEDICAL GROUP, INC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Extended Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548781933
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7606

## Contact information

- **Practice address:** 3350 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3014
- **Practice address phone:** (336) 718-8383
- **Practice address fax:** (336) 718-9622
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 718-8383
- **Mailing address fax:** (336) 718-9622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 07/06/2017