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

Novant Medical Group, Inc

Organization Dermatology Physician · NPI 1346398435

Novant Medical Group, Inc provides Dermatology Physician services in Charlotte, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Providence Rd
Charlotte, NC 28207-1218 Not confirmed with CMS for 15 years — call before visiting
Phone: (704) 384-9679
Fax: (704) 316-0508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Pediatrics Physician Taxonomy 208000000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346398435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (704) 384-9094
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 6, 2011
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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