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NOVANT HEALTH PSYCHIATRIC MEDICINE
NPI 1134515596
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Active since April 13, 2015CLIA 34D2152471 · Waiver
1350 WHITAKER RIDGE DR, WINSTON SALEM, NC 27106(336) 277-1800 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: September 13, 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 1134515596) is a healthcare organization registered as a psychiatry in Winston Salem, North Carolina and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Geoffrey K Gardner, Vp Of Finanace, as its authorized official.

NPPES Registry Identity

NPI1134515596
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address1350 WHITAKER RIDGE DRWinston Salem, NC 27106-4966
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 277-1800 · Fax (336) 277-6981
Phone(336) 277-1800
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finanace · (704) 316-7585
Enumeration DateApril 13, 2015
✔ NPI 1134515596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1350 WHITAKER RIDGE DR, Winston Salem, NC 27106
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Other Names 1

Doing Business AsNovant Health Psychiatric Medicine

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

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 34D2152471

Novant Health Psychiatry · Winston-Salem, NC
Active · expires Aug 8, 2028
CLIA Number34D2152471
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorVenkata Chivukula
Laboratory Phone(336) 277-1800
Laboratory LocationNovant Health Psychiatry175 Kimel Park Drive, Suite 100, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. SOREN MORGAN JOHNSON M.D.
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
DAVID SCOTT ANDERSON MD
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
MRS. KIMBERLY ANNE WOLLGREN O'NEILL LPC
Counselor (Mental Health)
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
JULIE MARIE PINDER MD
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
MATTHEW KENRIC AHRENHOLZ MD
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
JENNA ANDREWS PA-C
Physician Assistant
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
BARBARA ANN CLIFFORD MD
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000
DAVID YOTHAM RAINEY MD
Pediatrics
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Forsyth County (336) 718-8000

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 1134515596. It was assigned to this organization in the NPPES registry on April 13, 2015. The provider is doing business as Novant Health Psychiatric Medicine.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 1350 Whitaker Ridge Dr, Winston Salem, NC 27106. 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 Psychiatry, with taxonomy code 2084P0800X.

Does Novant Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2152471) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.