Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Blume Pediatric Hematology & Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP FINANCE)
(704) 384-1900
Entity
Organization
Contact information
Practice address
301 HAWTHORNE LN, SUITE 100, CHARLOTTE, NC 28204-2450
(704) 384-1900
(704) 384-1919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011UJ
BCBS
NC
05
—
89011UJ
—
NC
05
—
NPA924
—
SC
Enumeration date
06/14/2006
Last updated
07/16/2013
Update your record
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 at https://nppes.cms.hhs.gov.
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