NOVANT NURSE ANESTHESIA PROFESSIONAL SERVICES
NPI 1952690109
Nurse Anesthetist, Certified Registered in Charlotte, NC

Q: What is Nmg Southpark Services, LLC's NPI number?

The NPI number for Nmg Southpark Services, LLC is 1952690109. It was assigned to this organization in the NPPES registry on March 28, 2011. The provider is doing business as Novant Nurse Anesthesia Professional Services.

Q: What is Nmg Southpark Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since March 28, 2011

6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(952) 442-3620 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Novant Nurse Anesthesia Professional Services NPPES

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

NOVANT NURSE ANESTHESIA PROFESSIONAL SERVICES (NPI 1952690109) is a healthcare organization registered as a nurse anesthetist, certified registered in Charlotte, North Carolina and active in the NPI registry since March 2011. The organization lists Geoff Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1952690109

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNMG SOUTHPARK SERVICES, LLC

Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256

Mailing AddressPo Box 602579Charlotte, NC 28260-2579 · (952) 442-9770 · Fax (952) 442-3620

Phone(704) 295-3000

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialGeoff GardnerVp Of Finance · (336) 718-2078

Enumeration DateMarch 28, 2011

Last NPPES UpdateNovember 26, 2013

✔ NPI 1952690109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

6035 FAIRVIEW RD, Charlotte, NC 28210

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Other Names 1

Doing Business AsNovant Nurse Anesthesia Professional Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Nurse Anesthesia Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to Novant Nurse Anesthesia Professional Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.