NOVANT MEDICAL GROUP INC. NPI 1831199066

NPI Information

NPI: 1831199066
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: MID CAROLINA CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2555 COURT DR
STE 300
GASTONIA, NC
ZIP 28054
Phone: (704) 868-3256
Get Directions

NOVANT MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Gastonia, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NOVANT MEDICAL GROUP, INC. NPI is 1831199066. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid Carolina Cardiology.

The provider's business location address is:

2555 COURT DR
STE 300
GASTONIA, NC
ZIP 28054-134
Phone: (704) 868-3256
Fax: (704) 332-3621

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9094.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 7/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2344688R	MEDICARE PIN	NORTH CAROLINA
2	019H6	OTHER	NORTH CAROLINA	BCBS-NC
3	DG5273	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
4	NPA577	MEDICAID	SOUTH CAROLINA
5	5908575	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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