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

Novant Medical Group Inc

Organization Internal Medicine Physician · NPI 1154693018

Novant Medical Group Inc is an Internal Medicine Physician in Winston Salem, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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

201 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone: (336) 774-9000
Fax: (336) 774-9012
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1154693018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Finance, Nmg · (704) 384-9094
Other names Novant Health Blue Ridge Medical Associates
NPI enumeratedFebruary 7, 2012
Last updated in NPPESNovember 29, 2013
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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