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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1972857449 | NPPES |
| North Carolina | MEDICAID | 5921899 |
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