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

Novant Medical Group, Inc

Organization Family Medicine Physician · NPI 1306482922

Novant Medical Group, Inc is a Family Medicine Physician in Kernersville, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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

1710 Kernersville Medical Pkwy Ste 210
Kernersville, NC 27284-7157
Phone: (336) 718-6770
Fax: (336) 277-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1306482922
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovant Medical Group, Inc
Authorized official Shala Davis — Managed Care Manager · (704) 303-7517
Other names Novant Health Diabetes & Nutrition; Novant Health Diabetes & Nutrition
NPI enumeratedNovember 19, 2019
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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