NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS
NPI 1518967546
Family Medicine in Mint Hill, NC

Active since August 01, 2005
4105 MATTHEWS MINT HILL RD, MINT HILL, NC 28105(704) 384-9920(704) 384-9925 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Novant Health Pine Lake Family Physicians NPPES

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

NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS (NPI 1518967546) is a healthcare organization registered as a family medicine in Mint Hill, North Carolina and active in the NPI registry since August 2005. The organization lists Geoffery K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1518967546
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address4105 MATTHEWS MINT HILL RDMint Hill, NC 28105-3633
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9920 · Fax (704) 384-9925
Fax(704) 384-9925
Organization SubpartNo
Authorized OfficialGeoffery K GardnerVp Of Finance · (704) 384-7606
Enumeration DateAugust 1, 2005
Last NPPES UpdateJuly 26, 2013
✔ NPI 1518967546 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.
4105 MATTHEWS MINT HILL RD, Mint Hill, NC 28105

Other Names 1

Doing Business AsNovant Health Pine Lake Family Physicians

Other Identifiers 3

Medicaid790209NNC
MedicaidNPA894SC
Medicare PIN2343183BNC

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

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 Health Pine Lake Family Physicians 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 Health Pine Lake Family Physicians, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 821 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
Nurse Practitioner
NPI 1144671942
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447857560
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285139410
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOSSame address
Nurse Practitioner
NPI 1629425608
3610 MATTHEWS MINT HILL RD
Matthews, NC 28105
(866) 389-2727
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1154184281
3610 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 708-5701
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1215485867
9600 E INDEPENDENCE BLVD
Matthews, NC 28105
(704) 316-4846
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1851332928
9600 E INDEPENDENCE BLVD STE B
Matthews, NC 28105
(704) 815-5624
✔ PECOS✔ Accepts Medicare2.1 mi
Medical Oncology
NPI 1497981583
1700 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 841-8151
✔ PECOS✔ Accepts Medicare2.3 mi
Hematology/Oncology
NPI 1447412713
1700 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 841-8151
✔ PECOS✔ Accepts Medicare2.3 mi
Internal Medicine
NPI 1093006066
11300 CRESTHILL DR STE 100
Mint Hill, NC 28227
(980) 302-3550
✔ PECOS✔ Accepts Medicare2.5 mi
Hospitalist
NPI 1780610493
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-5416
✔ PECOS✔ Accepts Medicare2.5 mi
Hospice/Palliative Care
NPI 1215387824
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-6478
✔ PECOS✔ Accepts Medicare2.5 mi
Mental Health Counselor
NPI 1427516996
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Clinical Social Worker
NPI 1205931946
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1922492909
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOS2.5 mi
Psychiatry
NPI 1760060024
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Pediatric Medicine
NPI 1720737182
1401 MATTHEWS TOWNSHIP PKWY STE 100
Matthews, NC 28105
(704) 384-1080
✔ PECOS2.5 mi
Pulmonary Disease
NPI 1699907790
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts Medicare2.5 mi
Obstetrics/Gynecology
NPI 1366837098
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOS✔ Accepts Medicare2.5 mi
General Surgery
NPI 1699034603
1450 MATTHEWS TOWNSHIP PKWY STE 230
Matthews, NC 28105
(704) 384-8615
✔ PECOS✔ Accepts Medicare2.5 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 1518967546. It was assigned to this organization in the NPPES registry on August 1, 2005. The provider is doing business as Novant Health Pine Lake Family Physicians.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 4105 Matthews Mint Hill Rd, Mint Hill, NC 28105. The listed phone number is (704) 384-9920.

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, 3 practice at this address and 821 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 July 26, 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.