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NOVANT HEALTH PSYCHIATRIC MEDICINE
NPI 1043503287
Psychiatry & Neurology - Neurology in Winston Salem, NC

Active since May 20, 2011
175 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103(336) 277-1800(336) 277-9538 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Novant Health Psychiatric Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH PSYCHIATRIC MEDICINE (NPI 1043503287) is a healthcare organization registered as a neurology in Winston Salem, North Carolina and active in the NPI registry since May 2011. The organization lists Geoffrey K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043503287
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNOVANT MEDICAL GROUP, INC
Location Address175 KIMEL PARK DR, SUITE 100Winston Salem, NC 27103-6951
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Phone(336) 277-1800
Fax(336) 277-9538
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finance · (704) 384-9094
Enumeration DateMay 20, 2011
Last NPPES UpdateJune 21, 2013
✔ NPI 1043503287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
175 KIMEL PARK DR, Winston Salem, NC 27103
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Other Names 1

Doing Business AsNovant Health Psychiatric Medicine

Other Identifiers 2

Medicare UPIN2319872NC
Medicaid5917753NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROGER LEE MCCAULEY MD
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR, STE 115
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-6930
DR. JESSICA CIPOLETTI DERREBERRY M.D.
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
FORSYTH MEMORIAL HOSPITAL, INC.
Dermatology
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (704) 384-4000
BARBARA MICHELLE SAUNDERS MA, LPCA, NCC
Counselor (Mental Health)
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
FORSYTH MEMORIAL HOSPITAL INC
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
CAMILLE IVAH ROBERTS MD
Dermatology
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1006
SALEM PSYCHIATRIC ASSOC
Psychologist (Cognitive & Behavioral)
175 KIMEL PARK DR, SUITE 115
WINSTON SALEM, NC 27103
Forsyth County (336) 659-9440
FORSYTH MEMORIAL HOSPITAL, INC
Family Medicine
175 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 774-3740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Medical Group, Inc's NPI number?

The NPI number for Novant Medical Group, Inc is 1043503287. It was assigned to this organization in the NPPES registry on May 20, 2011. The provider is doing business as Novant Health Psychiatric Medicine.

Where is Novant Medical Group, Inc located?

Novant Medical Group, Inc is located at 175 Kimel Park Dr Suite 100, Winston Salem, NC 27103. The listed phone number is (336) 277-1800.

What is Novant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc was last updated on June 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.