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NOVANT HEALTH TRIAD ENDOCRINE
NPI 1093292997
Internal Medicine - Endocrinology, Diabetes & Metabolism in Greensboro, NC

Active since July 24, 2018CLIA Certified · 2 labs
6316 OLD OAK RIDGE RD STE E, GREENSBORO, NC 27410(336) 992-1351(336) 992-1361 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Novant Health Triad Endocrine NPPES

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

NOVANT HEALTH TRIAD ENDOCRINE (NPI 1093292997) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Greensboro, North Carolina and active in the NPI registry since July 2018. The organization holds 2 active CLIA laboratory certificates and lists Shala Davis, Manager Of Managed Care Enrollment, as its authorized official.

NPPES Registry Identity

NPI1093292997
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameNOVANT MEDICAL GROUP INC.
Location Address6316 OLD OAK RIDGE RD STE EGreensboro, NC 27410-9940
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 992-1351 · Fax (336) 992-1361
Phone(336) 992-1351
Fax(336) 992-1361
Organization SubpartNo
Authorized OfficialShala DavisManager Of Managed Care Enrollment · (704) 316-7845
Enumeration DateJuly 24, 2018
✔ NPI 1093292997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

6316 OLD OAK RIDGE RD STE E, Greensboro, NC 27410
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Other Names 1

Doing Business AsNovant Health Triad Endocrine

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2148095

Novant Health Triad Endocrine · Greensboro, NC
Active · expires May 2, 2028
CLIA Number34D2148095
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMatthew E. Levy
Laboratory Phone(336) 992-1351
Laboratory LocationNovant Health Triad Endocrine3515 W Market St, Ste 210, Greensboro, NC 27403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 34D2086755

Novant Health Triad Endocrine · Kernersville, NC
Active · expires Feb 23, 2027
CLIA Number34D2086755
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorJohn P. Lambeth
Laboratory Phone(336) 992-1351
Laboratory LocationNovant Health Triad Endocrine500 Pineview Drive, Suite 101, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

DR. BRENDA L MANFREDI MD
Family Medicine
6316 OLD OAK RIDGE RD STE E
GREENSBORO, NC 27410
Guilford County (336) 605-1337
BRIAUNA NICHOLE HESTER ADAMS PA
Physician Assistant
6316 OLD OAK RIDGE RD STE E
GREENSBORO, NC 27410
Guilford County (336) 605-1337

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 1093292997. It was assigned to this organization in the NPPES registry on July 24, 2018. The provider is doing business as Novant Health Triad Endocrine.

Where is Novant Medical Group Inc. located?

Novant Medical Group Inc. is located at 6316 Old Oak Ridge Rd Ste E, Greensboro, NC 27410. The listed phone number is (336) 992-1351.

What is Novant Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Novant Medical Group Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Novant Medical Group Inc. was last updated on July 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.