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NOVANT MEDICAL GROUP, INC.
NPI 1417420795
Family Medicine in Advance, NC

Active since January 09, 2019
5380 US HIGHWAY 158 STE 110, ADVANCE, NC 27006(336) 893-3225(336) 893-3219 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Novant Medical Group, Inc. NPPES

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

NOVANT MEDICAL GROUP, INC. (NPI 1417420795), doing business as Novant Health Bermuda Run Family Medicine, is a healthcare organization registered as a family medicine in Advance, North Carolina and active in the NPI registry since January 2019. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1417420795
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address5380 US HIGHWAY 158 STE 110Advance, NC 27006-6979
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 893-3225
Fax(336) 893-3219
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 316-7845
Enumeration DateJanuary 9, 2019
✔ NPI 1417420795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5380 US HIGHWAY 158 STE 110, Advance, NC 27006
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Other Names 1

Doing Business AsNovant Health Bermuda Run Family 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 520 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Shalyn Beck, NP
Nurse Practitioner
NPI 1811480106
121 MEDICAL DR
Advance, NC 27006
(336) 998-9060
✔ PECOS✔ Accepts Medicare0.2 mi
Margaret Bovender, NP
Nurse Practitioner
NPI 1821260829
121 MEDICAL DR
Advance, NC 27006
(336) 998-9060
✔ PECOS✔ Accepts Medicare0.2 mi
Lindsay Hartman, NP
Nurse Practitioner
NPI 1932225687
121 MEDICAL DR
Advance, NC 27006
(336) 998-9060
✔ PECOS✔ Accepts Medicare0.2 mi
Takashi Hirata, MD
Family Practice
NPI 1629110036
121 MEDICAL DR
Advance, NC 27006
(336) 998-9060
✔ PECOS✔ Accepts Medicare0.2 mi
Chase Bennett, MD
Orthopedic Surgery
NPI 1821354705
152 E KINDERTON WAY STE 101
Advance, NC 27006
(704) 384-7834
✔ PECOS✔ Accepts Medicare0.9 mi
Janis Buono, FNP-C
Nurse Practitioner
NPI 1811567662
152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
(336) 893-3210
✔ PECOS✔ Accepts Medicare0.9 mi
Kent Cochran
Anesthesiology
NPI 1326466574
152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
(336) 893-3210
✔ PECOS✔ Accepts Medicare0.9 mi
Jodie Gregory
Nurse Practitioner
NPI 1407518475
152 E KINDERTON WAY
Bermuda Run, NC 27006
(336) 893-3210
✔ PECOS✔ Accepts Medicare0.9 mi
Dittana Phoncharoensri, M.D.
Neurology
NPI 1750585170
152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
(336) 893-3180
✔ PECOS✔ Accepts Medicare0.9 mi
Renee Haynes, FNP-C
Nurse Practitioner
NPI 1477994507
4136 CLEMMONS RD
Clemmons, NC 27012
(336) 893-1300
✔ PECOS✔ Accepts Medicare2.0 mi
Rhonda Dixon, WHNP
Nurse Practitioner
NPI 1154446888
4130 CLEMMONS RD
Clemmons, NC 27012
(336) 765-5470
✔ PECOS✔ Accepts Medicare2.0 mi
Travis Howell, M.D.
Family Practice
NPI 1346208113
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare2.5 mi
David Lee, M.D.
Family Practice
NPI 1578511911
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare2.5 mi
Joshua Mckinnon, M.D.
Hospitalist
NPI 1801114343
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare2.5 mi
Bradley Clark, MD
Cardiovascular Disease (Cardiology)
NPI 1639431307
7114 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2440
✔ PECOS✔ Accepts Medicare2.6 mi
Charles Craven, M.D.
Orthopedic Surgery
NPI 1508824491
7210 VILLAGE MEDICAL CIR STE 110
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare2.6 mi
Richard Huettemann, MD
Colorectal Surgery (Proctology)
NPI 1255824041
7210 VILLAGE MEDICAL CIR STE 310
Clemmons, NC 27012
(336) 277-4075
✔ PECOS✔ Accepts Medicare2.6 mi
Ernest Mcphail, MD
Urology
NPI 1174644314
7210 VILLAGE MEDICAL CIR STE 225
Clemmons, NC 27012
(336) 893-3080
✔ PECOS✔ Accepts Medicare2.6 mi
Emily Seal, MD
Physical Medicine and Rehabilitation
NPI 1851897292
2554 LEWISVILLE CLEMMONS RD STE 201
Clemmons, NC 27012
(336) 986-9537
✔ PECOS✔ Accepts Medicare3.4 mi
Christopher Madden, M.D.
Internal Medicine
NPI 1366446320
6301 STADIUM DR
Clemmons, NC 27012
(336) 766-6473
✔ PECOS✔ Accepts Medicare3.6 mi
See all 2,991 clinicians

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 1417420795. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Novant Health Bermuda Run Family Medicine.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 5380 Us Highway 158 Ste 110, Advance, NC 27006. The listed phone number is (336) 893-3225.

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.

How many clinicians bill Medicare through Novant Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 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 Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 520 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Medical Group, Inc. accept?

Health plans from Cigna Healthcare list Novant Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.