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FAMILY MEDICINE AT REVOLUTION MILL
NPI 1770735508
Family Medicine in Greensboro, NC

Active since October 10, 2008
1591 YANCEYVILLE ST, SUITE 200, GREENSBORO, NC 27405(336) 232-0180 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medicine At Revolution Mill NPPES

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

FAMILY MEDICINE AT REVOLUTION MILL (NPI 1770735508) is a healthcare organization registered as a family medicine in Greensboro, North Carolina and active in the NPI registry since October 2008. The organization lists Geoffrey K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1770735508
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address1591 YANCEYVILLE ST, SUITE 200Greensboro, NC 27405-6941
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Phone(336) 232-0180
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finance · (704) 384-9094
Enumeration DateOctober 10, 2008
Last NPPES UpdateMarch 29, 2010
✔ NPI 1770735508 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.
1591 YANCEYVILLE ST, Greensboro, NC 27405
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Other Names 1

Doing Business AsFamily Medicine At Revolution Mill

Other Identifiers 2

Medicare UPIN2344668ENC
Medicaid5950463NC

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 2

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

DR. WILLIAM BYRON BARBER II M.D.
Plastic Surgery
1591 YANCEYVILLE ST, SUITE 100
GREENSBORO, NC 27405
Guilford County (336) 275-3430
DR. KIMBERLY RENEE SHELTON MD
Internal Medicine
1591 YANCEYVILLE ST, SUITE 200 A
GREENSBORO, NC 27405
Guilford County (336) 663-8420

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 1770735508. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is doing business as Family Medicine At Revolution Mill.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 1591 Yanceyville St Suite 200, Greensboro, NC 27405. The listed phone number is (336) 232-0180.

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 March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.