NOVANT HEALTH MILLER STREET FAMILY MEDICINE – NPI #1639620107
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NOVANT HEALTH MILLER STREET FAMILY MEDICINE is a provider located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1639620107 to NOVANT HEALTH MILLER STREET FAMILY MEDICINE on October 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH MILLER STREET FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is NOVANT MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Aug 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVANT HEALTH MILLER STREET FAMILY MEDICINE below.

NPI Profile for
NOVANT MEDICAL GROUP, INC.

NPI Number
1639620107
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVANT MEDICAL GROUP, INC.
Doing Business As (dba): NOVANT HEALTH MILLER STREET FAMILY MEDICINE
Primary location
50 MILLER ST
STE G
WINSTON-SALEM, NC 27104
Phone: (704) 384-7605 Fax:
1 Other location(s):
50 Miller St
STE G
Winston Salem, NC 27104-4206
Phone: (704) 384-7605
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (704) 384-7840 Fax:
Organization Subpart
No
Authorized Official
GEOFFREY GARDNER
VP OF FINANCE
Phone: (704) 384-7605
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.