Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novant Health Medical Group, LLC

Organization Neurological Surgery Physician · NPI 1104472125

Novant Health Medical Group, LLC is a Neurological Surgery Physician 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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