Novant Health Perry Medders Medical Group
LBN: Novant Medical Group Inc
Novant Health Perry Medders Medical Group is an health care organization with primary practice located at 205 Sandalwood Ave Suite A, Louisburg NC 27549-2679. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Novant Medical Group Inc can be contacted via phone (919) 496-4250, or through Gardner, Geoffrey via phone (919) 496-4250.
Contact Information
Primary practice address
205 Sandalwood Ave Suite A
Louisburg NC 27549-2679
Phone: (919) 496-4250
Fax: (919) 496-1515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1700040375 |
|---|---|
| LBN Legal business name | Novant Medical Group Inc |
| DBA Doing business as | Novant Health Perry Medders Medical Group |
| Authorized official | Gardner, Geoffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Nov 29th, 2013 - about 11 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 | 1700040375 | NPPES |
| North Carolina | MEDICAID | 5911436 | |
| North Carolina | Other | CC5118 |
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