NOVANT URGENT CARE SHALLOTTE
NPI 1780879544
Clinic/Center - Urgent Care in Shallotte, NC

Active since September 13, 2007
4503 MAIN STREET, SHALLOTTE, NC 28470(910) 755-5440(910) 755-5420 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Urgent Care

About NOVANT URGENT CARE SHALLOTTE

This page provides the complete NPI Profile along with additional information for Novant Urgent Care Shallotte, a provider established in Shallotte, North Carolina operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1780879544 assigned on September 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Novant Urgent Care Shallotte. The authorized official of this NPI record is Geoffrey Gardner (Vp Of Operations)

NPI
1780879544 Verify this NPI
Provider Legal Name
NOVANT MEDICAL GROUP, INC.
Other Organization Name
NOVANT URGENT CARE SHALLOTTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4503 MAIN STREET SHALLOTTE, NC 28470
Location Phone
(910) 755-5440
Location Fax
(910) 755-5420
Mailing Address
PO BOX 602362 CHARLOTTE, NC 28260
Mailing Phone
(704) 384-7840
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2007
Last Update Date
07-19-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEOFFREY GARDNER

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(704) 384-9094

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
020C5OTHER (01)NCBCBS-NC
5909127MEDICAID (05)NC 
2325721HMEDICARE PIN (08)NC 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780879544, enumerated as an "organization" on September 13, 2007.

The provider is located at 4503 MAIN STREET SHALLOTTE, NC 28470 and the phone number is (910) 755-5440.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.