Novant Health Catalyst Family & Sports Medicine

LBN: Novant Medical Group Inc
Novant Health Catalyst Family & Sports Medicine 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 / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Novant Medical Group Inc can be contacted via phone (919) 497-3526, or through Gardner, Geoffery K via phone (919) 497-3526.

Contact Information

Primary practice address
205 Sandalwood Ave Suite A Louisburg NC 27549-2679
Phone: (919) 497-3526
Fax: (919) 497-3539
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffery K
Phone: (919) 497-3526

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1972857449
LBN Legal business name Novant Medical Group Inc
DBA Doing business as Novant Health Catalyst Family & Sports Medicine
Authorized official Gardner, Geoffery K
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2012
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972857449 NPPES
North Carolina MEDICAID 5921899

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