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

Novant Medical Group, Inc

Organization Dermatology Physician · NPI 1346398435

Novant Medical Group, Inc is a Dermatology Physician in Charlotte, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15
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

108 Providence Rd
Charlotte, NC 28207-1218
Phone: (704) 384-9679
Fax: (704) 316-0508
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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
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Pediatrics Physician Taxonomy 208000000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346398435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (704) 384-9094
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 6, 2011
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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