NOVANT URGENT CARE SHALLOTTE
NPI 1780879544
Clinic/Center - Urgent Care in Shallotte, NC
About Novant Urgent Care Shallotte NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT URGENT CARE SHALLOTTE (NPI 1780879544) is a healthcare organization registered as an urgent care in Shallotte, North Carolina and active in the NPI registry since September 2007. The organization lists Geoffrey Gardner, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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 Urgent Care Shallotte is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
83Medicare enrollment records show 83 clinicians reassign Medicare billing to Novant Urgent Care Shallotte, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 83Charlotte, NC 28203
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 1780879544. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Novant Urgent Care Shallotte.
Where is Novant Medical Group, Inc. located?
Novant Medical Group, Inc. is located at 4503 Main Street, Shallotte, NC 28470. The listed phone number is (910) 755-5440.
What is Novant Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
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), 83 clinicians in 10 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 Family Practice (38), Nurse Practitioner (20) and Internal Medicine (9). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Novant Medical Group, Inc. was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Novant Urgent Care Shallotte · NPI 1780879544
Urgent Care organization in Shallotte, North Carolina. Organization record, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1780879544 (Entity type: Organization)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Novant Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gardner, VP OF OPERATIONS
## Practice location
- **Address:** 4503 MAIN STREET, Shallotte, NC 28470-4447
- **Phone:** (910) 755-5440 · **Fax:** (910) 755-5420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 83 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (38), Nurse Practitioner (20), Internal Medicine (9); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1780879544/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2011
- **Other identifiers:** Other 020C5 (NC); Medicaid 5909127 (NC); Medicare PIN 2325721H (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1780879544) · Data from the CMS NPPES public registry.