# NOVANT 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 Randolph OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780626374
- **Authorized official:** GEOFFREY K. GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-9094

## Contact information

- **Practice address:** 2711 RANDOLPH RD, SUITE 512, CHARLOTTE, NC 28207-2027
- **Practice address phone:** (704) 333-4104
- **Practice address fax:** (704) 358-4544
- **Mailing address:** PO BOX 602362, CHARLOTTE, NC 28260-2362
- **Mailing address phone:** (704) 333-4104
- **Mailing address fax:** (704) 358-4544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NC | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 06/21/2013