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

Novant Medical Group, Inc

Organization Family Medicine Physician · NPI 1417362781

Novant Medical Group, Inc provides Family Medicine Physician services in Charlotte, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

1718 E 4th St Ste 401
Charlotte, NC 28260-0447 Not confirmed with CMS for 12 years — call before visiting
Phone: (336) 564-4161
Fax: (336) 431-0084
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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

Record details

NPI number1417362781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (704) 384-7606
Other names Novant Health Archdale Family Medicine
NPI enumeratedJune 25, 2014
Last updated in NPPESAugust 5, 2014
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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