Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group, LLC

Organization Neurological Surgery Physician · NPI 1104472125

Novant Health Medical Group, LLC provides Neurological Surgery Physician services in Greensboro, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3515 W Market St Ste 210
Greensboro, NC 27403-4442
Phone: (704) 316-6493
Fax: (704) 316-9859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1104472125
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovant Health Medical Group, LLC
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Novant Health Brain And Spine Surgery
NPI enumeratedAugust 15, 2019
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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