NOVA IC, INC.
NPI 1053634824
Psychiatry & Neurology - Psychiatry in Goldsboro, NC

Q: What is Nova Ic, Inc.'s NPI number?

The NPI number for Nova Ic, Inc. is 1053634824. It was assigned to this organization in the NPPES registry on March 9, 2010.

Q: What is Nova Ic, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nova Ic, Inc. was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since March 09, 2010

2307 NORWOOD AVE STE A, GOLDSBORO, NC 27534(919) 735-8887(919) 735-8871 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2025, Sep 30, 2024, Oct 25, 2022 and 1 more (4 updates tracked since 2021).

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About Nova Ic, Inc. NPPES

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

NOVA IC, INC. (NPI 1053634824) is a healthcare organization registered as a psychiatry in Goldsboro, North Carolina and active in the NPI registry since March 2010. The organization lists Tracey Pridgen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053634824

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameNOVA IC, INC.

Location Address2307 NORWOOD AVE STE AGoldsboro, NC 27534-1601

Mailing AddressPo Box 11077Goldsboro, NC 27532-1077 · (919) 734-8803 · Fax (919) 735-6825

Phone(919) 735-8887

Fax(919) 735-8871

Organization SubpartNo

Authorized OfficialTracey PridgenCfo · (919) 734-8803

Enumeration DateMarch 9, 2010

Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1053634824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X

2307 NORWOOD AVE STE A, Goldsboro, NC 27534

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Other Identifiers 11

Medicaid3406164NC

Medicaid340608VNC

Medicaid3406058NC

Medicaid340610MNC

Medicaid8302565NC

Medicaid6006439NC

Medicaid3406289NC

Medicaid3406312NC

Medicaid340609RNC

Medicaid3406174NC

Medicaid8302772NC

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 9

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

DR. KAYZANDRA LEIGH EXUM BOND PH.D.

Psychologist