NOVANT MEDICAL GROUP. INC. NPI 1558877902

NPI Information

  • NPI: 1558877902
  • Provider Name: NOVANT MEDICAL GROUP. INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH CARE CONNECTIONS PROVIDER SERVICES
  • CLIA Number: 34D0237654
  • Address: 2150 COUNTRY CLUB RD STE 300
    WINSTON SALEM, NC
    ZIP 27104
  • Phone: (336) 277-5881

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NPI Details

NOVANT MEDICAL GROUP. INC. is a family medicine in Winston Salem, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT MEDICAL GROUP. INC. NPI is 1558877902. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Novant Health Care Connections Provider Services.

The provider's business location address is:

2150 COUNTRY CLUB RD STE 300
WINSTON SALEM, NC
ZIP 27104-241
Phone: (336) 277-5881
Fax: (336) 277-7823

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-7840.

The CLIA number assigned to this NPI record is 34D0237654 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 3/15/2018.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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