NOVANT HEALTH FORT MILL FAMILY MEDICINE
NPI 1205899861
Family Medicine in Fort Mill, SC
About Novant Health Fort Mill Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH FORT MILL FAMILY MEDICINE (NPI 1205899861) is a healthcare organization registered as a family medicine in Fort Mill, South Carolina and active in the NPI registry since April 2006. The organization lists Geoffrey Gardner, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Novant Health Fort Mill Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Novant Health Fort Mill Family Medicine, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
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 1205899861. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as Novant Health Fort Mill Family Medicine.
Where is Novant Medical Group, Inc. located?
Novant Medical Group, Inc. is located at 1690 Highway 160 W, Fort Mill, SC 29708. The listed phone number is (803) 547-7541.
What is Novant Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Novant Medical Group, Inc. enrolled in Medicare?
Yes. Novant Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is Novant Medical Group, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Novant Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 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 Family Practice (7), Nurse Practitioner (3) and Osteopathic Manipulative Medicine (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Novant Medical Group, Inc. was last updated on June 27, 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.
# Novant Health Fort Mill Family Medicine · NPI 1205899861
Family Medicine organization in Fort Mill, South Carolina. Organization record, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1205899861 (Entity type: Organization)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Novant Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gardner, VP OF OPERATIONS
## Practice location
- **Address:** 1690 HIGHWAY 160 W, Fort Mill, SC 29708-8024
- **Phone:** (803) 547-7541 · **Fax:** (803) 548-0122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (3), Osteopathic Manipulative Medicine (2); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2013
- **Other identifiers:** Medicare PIN 8371 (SC); Medicaid GP4288 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1205899861) · Data from the CMS NPPES public registry.