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NOVANT HEALTH OSTEOPATHIC AND FAMILY MEDICINE
NPI 1396784104
Family Medicine in Charlotte, NC

Active since June 06, 2006
8420 UNIVERSITY EXEC PARK DR, SUITE 850, CHARLOTTE, NC 28262(704) 316-1750(704) 316-1755 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Novant Health Osteopathic And Family Medicine NPPES

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

NOVANT HEALTH OSTEOPATHIC AND FAMILY MEDICINE (NPI 1396784104) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization lists Geoffrey K. Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1396784104
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address8420 UNIVERSITY EXEC PARK DR, SUITE 850Charlotte, NC 28262-1344
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Phone(704) 316-1750
Fax(704) 316-1755
Organization SubpartNo
Authorized OfficialGeoffrey K. GardnerVp Of Finance · (704) 384-9144
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 22, 2017
✔ NPI 1396784104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
8420 UNIVERSITY EXEC PARK DR, Charlotte, NC 28262
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Other Names 1

Doing Business AsNovant Health Osteopathic And Family Medicine

Other Identifiers 4

Medicare PIN2319872NC
Medicaid89015FJNC
OtherCC5118NC · Railroad Medicare
Other0109PNC · 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 6

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

GWYN DAVIS DMD
Dentist (General Practice)
8420 UNIVERSITY EXEC PARK DR, SUITE 805
CHARLOTTE, NC 28262
Mecklenburg County (704) 594-9250
DR. TIKY KYTASHA SWAIN DDS
Dentist (General Practice)
8420 UNIVERSITY EXEC PARK DR, SUITE 805
CHARLOTTE, NC 28262
Mecklenburg County (704) 594-9250
BAILEY WIGGINS DPT
Physical Therapist
8420 UNIVERSITY EXEC PARK DR
CHARLOTTE, NC 28262
Mecklenburg County (704) 752-1616
GWYN DAVIS, DMD & ASSOC PA
Dentist (General Practice)
8420 UNIVERSITY EXEC PARK DR, SUITE 805
CHARLOTTE, NC 28262
Mecklenburg County (704) 594-9250
DR. KIMBERLY MARIE ANDERSON D.D.S.
Dentist (General Practice)
8420 UNIVERSITY EXEC PARK DR, #805
CHARLOTTE, NC 28262
Mecklenburg County (704) 594-9250
CAROLINA BETANCUR
Behavior Technician
8420 UNIVERSITY EXEC PARK DR
CHARLOTTE, NC 28262
Mecklenburg County (800) 442-2762

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 1396784104. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Novant Health Osteopathic And Family Medicine.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 8420 University Exec Park Dr Suite 850, Charlotte, NC 28262. The listed phone number is (704) 316-1750.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.