NOVANT HEALTH CANCER INSTITUTE
NPI 1922645571
Surgery in Charlotte, NC

Q: What is Novant Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1922645571. It was assigned to this organization in the NPPES registry on December 3, 2019. The provider is doing business as Novant Health Cancer Institute.

Q: What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 03, 2019

6324 FAIRVIEW RD STE 420, CHARLOTTE, NC 28210(980) 302-8840(980) 302-8865 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2021, Oct 26, 2020, Dec 3, 2019 (3 updates tracked since 2019).

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About Novant Health Cancer Institute NPPES

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

NOVANT HEALTH CANCER INSTITUTE (NPI 1922645571) is a healthcare organization registered as a surgery in Charlotte, North Carolina and active in the NPI registry since December 2019. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1922645571

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNOVANT MEDICAL GROUP, INC.

Location Address6324 FAIRVIEW RD STE 420Charlotte, NC 28210-3372

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 302-8840

Fax(980) 302-8865

Organization SubpartYes

Authorized OfficialShala DavisRcs Manager · (704) 303-7517

Enumeration DateDecember 3, 2019

Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration

NPPES CertifiedAugust 18, 2021

✔ NPI 1922645571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6324 FAIRVIEW RD STE 420, Charlotte, NC 28210

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Other Names 1

Doing Business AsNovant Health Cancer Institute

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

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 Cancer Institute 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 Cancer Institute, which bills Medicare for the services they deliver. Of these, 46 practice at this address and 956 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

Jazmine Ackerman, FNP-C

Nurse Practitioner

NPI 1174412902

6324 FAIRVIEW RD STE 201
Charlotte, NC 28210

(704) 384-0588

✔ PECOS✔ Accepts MedicareSame address

Asaad Ahmed, M.D.

Hospitalist

NPI 1063618312

6324 FAIRVIEW RD STE 310
Charlotte, NC 28210

(704) 316-6565

✔ PECOS✔ Accepts MedicareSame address

Matthew Arroyo, MD

Internal Medicine

NPI 1538131818

6324 FAIRVIEW RD STE 310
Charlotte, NC 28210

(980) 302-8680

✔ PECOS✔ Accepts MedicareSame address

Cho Aye

Geriatric Medicine

NPI 1558922641

6324 FAIRVIEW RD STE 310
Charlotte, NC 28210

(704) 316-6565

✔ PECOS✔ Accepts MedicareSame address

Kristi Balavage, MD

Obstetrics/Gynecology

NPI 1104320563

6324 FAIRVIEW RD STE 430
Charlotte, NC 28210

(704) 316-3148

✔ PECOS✔ Accepts MedicareSame address

Blake Bertolino

Neurology

NPI 1477136711

6324 FAIRVIEW RD STE 400
Charlotte, NC 28210

(406) 281-1173

✔ PECOS✔ Accepts MedicareSame address

Julie Bogguss, FNP

Nurse Practitioner

NPI 1205898764

6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210

(704) 384-8600

✔ PECOSSame address

Christina Brose, CNM

Certified Nurse Midwife (CNM)

NPI 1588044911

6324 FAIRVIEW RD STE 430
Charlotte, NC 28210

(704) 316-3148

✔ PECOSSame address

Janie Chai, MD

Pediatric Medicine

NPI 1881689651

6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210

(704) 384-8600

✔ PECOSSame address

Kevin Courts

Family Practice

NPI 1245735315

6324 FAIRVIEW RD STE 201
Charlotte, NC 28210

(704) 384-0588

✔ PECOS✔ Accepts MedicareSame address

Daniel Donner, MD

Pediatric Medicine

NPI 1710322367

6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210

(704) 384-8600

✔ PECOSSame address

Rupendra Ghatak

Neurology

NPI 1831732809

6324 FAIRVIEW RD STE 400
Charlotte, NC 28210

(980) 302-6400

✔ PECOS✔ Accepts MedicareSame address

Karen Holst, MSW, LCSW

Clinical Social Worker

NPI 1376676601

6324 FAIRVIEW RD STE 460
Charlotte, NC 28210

(980) 302-8611

✔ PECOS✔ Accepts MedicareSame address

Kenisha Hopkins, MSW, LCSW

Clinical Social Worker

NPI 1255945085

6324 FAIRVIEW RD STE 460
Charlotte, NC 28210

(980) 302-8611

✔ PECOS✔ Accepts MedicareSame address

Sahithi Jarugula, MBBS

Rheumatology

NPI 1215228655

6324 FAIRVIEW RD STE 330
Charlotte, NC 28210

(704) 316-1950

✔ PECOS✔ Accepts MedicareSame address

Khadijah Lewis

Marriage and Family Therapist

NPI 1083237598

6324 FAIRVIEW RD STE 460
Charlotte, NC 28210

(980) 302-8611

✔ PECOS✔ Accepts MedicareSame address

Peter Mack, MD

Family Practice

NPI 1922202225

6324 FAIRVIEW RD SUITE 201
Charlotte, NC 28210

(704) 384-0588

✔ PECOSSame address

Eleanor Mccurdy

Obstetrics/Gynecology

NPI 1467471771

6324 FAIRVIEW RD STE 430
Charlotte, NC 28210

(704) 316-3148

✔ PECOS✔ Accepts MedicareSame address

Kimberly Miller, AU.D.

Qualified Audiologist

NPI 1245548999

6324 FAIRVIEW RD STE 202
Charlotte, NC 28210

(980) 302-9740

✔ Accepts MedicareSame address

William Porter, MD

Urology

NPI 1750380549

6324 FAIRVIEW RD STE 420
Charlotte, NC 28210

(704) 316-1120

✔ PECOS✔ Accepts MedicareSame address

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 1922645571. It was assigned to this organization in the NPPES registry on December 3, 2019. The provider is doing business as Novant Health Cancer Institute.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 6324 Fairview Rd Ste 420, Charlotte, NC 28210. The listed phone number is (980) 302-8840.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 46 practice at this address and 956 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 August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.