NOVANT HEALTH MILLER STREET FAMILY MEDICINE
NPI 1639620107
Family Medicine in Winston Salem, NC

Active since October 20, 2016
50 MILLER ST, STE G, WINSTON SALEM, NC 27104(704) 384-7605 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2018, Mar 17, 2018, Oct 20, 2016 (3 updates tracked since 2016).

About Novant Health Miller Street Family Medicine NPPES

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

NOVANT HEALTH MILLER STREET FAMILY MEDICINE (NPI 1639620107) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Winston Salem and lists Geoffrey K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1639620107
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address50 MILLER ST, STE GWinston Salem, NC 27104
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finance · (704) 384-7605
Enumeration DateOctober 20, 2016
Last NPPES UpdateAugust 7, 20183 updates tracked since enumeration
✔ NPI 1639620107 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.
50 MILLER ST, Winston Salem, NC 27104

Other Names 1

Doing Business AsNovant Health Miller Street Family Medicine

Secondary Practice Location 1

Location 150 Miller St, STE GWinston Salem, NC 27104-4206 · Phone (704) 384-7605

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

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 Miller Street Family Medicine 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 Miller Street Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 616 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
Internal Medicine
NPI 1265402184
50 MILLER ST STE G
Winston Salem, NC 27104
(336) 718-1000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215909106
50 MILLER ST STE G
Winston Salem, NC 27104
(336) 718-1000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1811158439
50 MILLER ST STE I
Winston Salem, NC 27104
(336) 277-2225
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1982283537
ONE MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-5440
✔ PECOS✔ Accepts Medicare0.3 mi
Hospitalist
NPI 1114583945
1 MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2011
✔ PECOS0.4 mi
Psychiatry
NPI 1912340324
MEDICAL CENETER BLVD
Winston Salem, NC 27157
(336) 716-3601
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1417311085
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-4156
✔ PECOS✔ Accepts Medicare0.4 mi
Anesthesiology
NPI 1770087827
MEDICAL CENTER BOULEVARD
Winston Salem, NC 27157
(336) 716-4426
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1861079378
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-4156
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1356594360
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2255
✔ PECOS0.4 mi
Hospitalist
NPI 1508506098
ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD
Winston Salem, NC 27157
(336) 716-6410
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1356974901
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-8250
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1659942894
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-5440
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1639134646
MEDICAL CENTER BOULEVARD
Winston Salem, NC 27157
(336) 716-4881
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1689659161
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-4500
✔ PECOS✔ Accepts Medicare0.4 mi
Gastroenterology
NPI 1568429405
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-3636
✔ PECOS✔ Accepts Medicare0.4 mi
Cardiovascular Disease (Cardiology)
NPI 1467517631
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-6674
✔ PECOS✔ Accepts Medicare0.4 mi
Hematology/Oncology
NPI 1841829066
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-5440
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1487639464
MEDICAL CENTER BLVD
Winston-salem, NC 27157
(336) 716-2255
✔ PECOS0.4 mi
General Surgery
NPI 1164742748
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-3813
✔ PECOS✔ Accepts Medicare0.4 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 1639620107. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as Novant Health Miller Street Family Medicine.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 50 Miller St Ste G, Winston Salem, NC 27104. The listed phone number is (704) 384-7605.

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 616 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 August 7, 2018. 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.