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

Q: 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.

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

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

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: September 06, 2026.

On this page

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

Phone(704) 384-9920

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

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 9

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

TONIA DAVIS BAILEY FNP

Nurse Practitioner

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

CAROLINAS PHYSICIANS NETWORK INC.

Family Medicine

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 545-4609

LAURA IBANEZ HERRERA

Physician Assistant

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

RONALD DESROUILLERES DO

Family Medicine

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

DR. BETH L CARLSON M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 384-9920

DR. KISHA ROCHELLE YOUNG M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

Mecklenburg County (704) 384-9920

SEIJI BORJA FNP

Nurse Practitioner

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

DR. LLOYD BRIDGES M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

Mecklenburg County (704) 384-9920

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.

What insurance does Novant Medical Group, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC 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 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.