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

Novant Medical Group, Inc

Organization Family Medicine Physician · NPI 1417420795

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

In the registry since
2019
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

5380 US Highway 158 Ste 110
Advance, NC 27006-6979
Phone: (336) 893-3225
Fax: (336) 893-3219
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417420795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 316-7845
Other names Novant Health Bermuda Run Family Medicine
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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