Novant Health Psychiatric Medicine

LBN: Novant Medical Group, Inc
Novant Health Psychiatric Medicine is an health care organization with primary practice located at 175 Kimel Park Dr Suite 100, Winston Salem NC 27103-6951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Novant Medical Group, Inc can be contacted via phone (336) 277-1800, or through Gardner, Geoffrey K via phone (704) 384-9094.

Contact Information

Primary practice address
175 Kimel Park Dr Suite 100 Winston Salem NC 27103-6951
Phone: (336) 277-1800
Fax: (336) 277-9538
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey K
Phone: (704) 384-9094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1043503287
LBN Legal business name Novant Medical Group, Inc
DBA Doing business as Novant Health Psychiatric Medicine
Authorized official Gardner, Geoffrey K
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2011
Last updated Jun 21st, 2013 - about 13 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 1043503287 NPPES
North Carolina MEDICAID 5917753

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