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NOVANT HEALTH MULTIDISCIPLINARY CANCER CLINIC
NPI 1295089936
Internal Medicine - Medical Oncology in Charlotte, NC

Active since November 02, 2012
1718 E 4TH ST STE 105, CHARLOTTE, NC 28204(704) 384-5373(704) 417-4400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Novant Health Multidisciplinary Cancer Clinic NPPES

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

NOVANT HEALTH MULTIDISCIPLINARY CANCER CLINIC (NPI 1295089936) is a healthcare organization registered as a medical oncology in Charlotte, North Carolina and active in the NPI registry since November 2012. The organization lists Geoffrey K Gardner, Vp Of Nmg Finance, as its authorized official.

NPPES Registry Identity

NPI1295089936
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameNOVANT MEDICAL GROUP, INC
Location Address1718 E 4TH ST STE 105Charlotte, NC 28204-3193
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Phone(704) 384-5373
Fax(704) 417-4400
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Nmg Finance · (704) 384-5373
Enumeration DateNovember 2, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1295089936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1718 E 4TH ST STE 105, Charlotte, NC 28204
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Other Names 1

Doing Business AsNovant Health Multidisciplinary Cancer Clinic

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 2

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

KATHRYN L BERRIER
Genetic Counselor, MS
1718 E 4TH ST STE 105
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-5373
MRS. KRISTIE LYNN BLAIR-RUTHERFORD ARNP
Nurse Practitioner (Family)
1718 E 4TH ST STE 105
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7292

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 1295089936. It was assigned to this organization in the NPPES registry on November 2, 2012. The provider is doing business as Novant Health Multidisciplinary Cancer Clinic.

Where is Novant Medical Group, Inc located?

Novant Medical Group, Inc is located at 1718 E 4th St Ste 105, Charlotte, NC 28204. The listed phone number is (704) 384-5373.

What is Novant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.