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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: August 02, 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
Phone(704) 384-7605
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
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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

Other Providers at the Same Location NPPES 3

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

MRS. KACIE MINTZ FNP-C, IBCLC
Nurse Practitioner (Family)
50 MILLER ST, SUITE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-7660
DR. DANIEL ENRIQUE HERNANDEZ GONZALEZ MD
Internal Medicine
50 MILLER ST
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
MICHELLE RENE THAMES FNP
Nurse Practitioner
50 MILLER ST
WINSTON SALEM, NC 27104
Forsyth County (336) 310-5535

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.

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.