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MID CAROLINA CARDIOLOGY
NPI 1205836434
Internal Medicine - Interventional Cardiology in Charlotte, NC

Active since July 29, 2005
1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204(704) 887-7563(704) 887-7570 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Carolina Cardiology NPPES

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

MID CAROLINA CARDIOLOGY (NPI 1205836434) is a healthcare organization registered as an interventional cardiology in Charlotte, North Carolina and active in the NPI registry since July 2005. The organization lists Geoffrey Gardner, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1205836434
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address1718 E 4TH ST, STE 501Charlotte, NC 28204-3260
Mailing AddressPo Box 602362Charlotte, NC 28260-2362 · (704) 384-7840
Phone(704) 887-7563
Fax(704) 887-7570
Organization SubpartNo
Authorized OfficialGeoffrey GardnerVp Of Operations · (704) 384-9104
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 19, 2011
✔ NPI 1205836434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
1718 E 4TH ST, Charlotte, NC 28204
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Other Names 1

Doing Business AsMid Carolina Cardiology

Other Identifiers 5

OtherDG5273NC · Railroad Medicare
Medicaid5908575NC
Medicare PIN2344688RNC
MedicaidNPA577SC
Other019H6NC · Bcbs-nc

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 20

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204
Mecklenburg County (704) 598-7320
DR. PHILIP WILLIAM DE HOFF M. D.
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204
Mecklenburg County (704) 372-4000
STEPHANIE DAWN RITCHIE PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100
NOVANT MEDICAL GROUP
Internal Medicine (Infectious Disease)
1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7840
JESSICA PUSKARICH NP
Nurse Practitioner
1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-1259
KAO NU LY PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204
Mecklenburg County (704) 376-5636
ROBERT BRIAN FAZIA MD
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204
Mecklenburg County (704) 343-9800
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-0560

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 1205836434. It was assigned to this organization in the NPPES registry on July 29, 2005. The provider is doing business as Mid Carolina Cardiology.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 1718 E 4th St Ste 501, Charlotte, NC 28204. The listed phone number is (704) 887-7563.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.