# FOUNDATION HEALTH SYSTEMS CORP

> 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
- **Parent organization:** FOUNDATION HEALTH SYSTEMS CORP
- **Other names:** Novant Health Sports Performance & Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730716267
- **Legal business name:** FOUNDATION HEALTH SYSTEMS CORP
- **Authorized official:** SHALA DAVIS (ENROLLMENT MANAGER)
- **Authorized official phone:** (704) 316-7845

## Contact information

- **Practice address:** 7210 VILLAGE MEDICAL CIR STE 115, CLEMMONS, NC 27012-8029
- **Practice address phone:** (336) 893-2460
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 03/25/2020