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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: October 18, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Psychiatric Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Psychiatric Medicine, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 616 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Tressa Corbett, LCSW, LCAS
Clinical Social Worker
NPI 1114265337
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Samuel Mcginnis, LCMHC
Mental Health Counselor
NPI 1336650332
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 277-1800
✔ PECOS✔ Accepts MedicareSame address
Stella Walson, FNP/PMHNP
Nurse Practitioner
NPI 1952342909
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 277-1800
✔ PECOS✔ Accepts MedicareSame address
Daphne Sharpe, DNP, FNP-BC
Nurse Practitioner
NPI 1518012350
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 277-1800
✔ PECOSSame address
Allison Baise
Mental Health Counselor
NPI 1942485974
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Alice Barclay, LCSW
Clinical Social Worker
NPI 1932750833
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Gayle Bryant, NP
Nurse Practitioner
NPI 1801402102
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Mikala Dillard, PMHNP-BC
Nurse Practitioner
NPI 1114590486
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Devora Neely, MSW, P-LCSW
Nurse Practitioner
NPI 1750557872
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Millicent Shadden, LCSW
Clinical Social Worker
NPI 1336167576
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Stephanie Smith, MSN, PMHNP
Nurse Practitioner
NPI 1952067639
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Brian Farah, M.D.
Psychiatry
NPI 1174552079
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Esther Mensah-Korankyi, PMHNP
Nurse Practitioner
NPI 1831475433
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Nicole Fernandez, DO
Psychiatry
NPI 1477119774
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Jennifer Griffin, FNP-C
Nurse Practitioner
NPI 1295254944
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Walter Wray, M.D.
Hand Surgery
NPI 1821261652
170 KIMEL PARK DR
Winston Salem, NC 27103
(704) 323-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Rahel Alemu, M.D.
Cardiovascular Disease (Cardiology)
NPI 1194039636
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Mousumi Andersen, M.D.
Interventional Cardiology
NPI 1740577915
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Ennie Austin
Nurse Practitioner
NPI 1881248029
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Rafael Cavalcanti, M.D.
Cardiac Electrophysiology
NPI 1417248089
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Novant Medical Group, Inc enrolled in Medicare?

Yes. Novant Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 15 practice at this address and 616 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Medical Group, Inc accept?

Health plans from Cigna Healthcare list Novant Medical Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.