Northgate Family Medicine
LBN: Novant Medical Group, Inc.
Northgate Family Medicine is an health care organization with primary practice located at 1028 Lee Ann Dr Ne Suite 100, Concord NC 28025-2903. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Novant Medical Group, Inc. can be contacted via phone (704) 788-1134, or through Gardner, Geoffrey via phone (704) 384-9094.
Contact Information
Primary practice address
1028 Lee Ann Dr Ne Suite 100
Concord NC 28025-2903
Phone: (704) 788-1134
Fax: (704) 788-1186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1255470274 |
|---|---|
| LBN Legal business name | Novant Medical Group, Inc. |
| DBA Doing business as | Northgate Family Medicine |
| Authorized official | Gardner, Geoffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 19th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255470274 | NPPES |
| North Carolina | MEDICAID | 5906102 | |
| North Carolina | Other | 018WE |
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