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

Novant Medical Group Inc

Organization Surgery Physician · NPI 1619389202

Novant Medical Group Inc is a Surgery Physician in Clemmons, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

7126 Village Medical Cir
Clemmons, NC 27012-8004
Phone: (336) 765-5221
Fax: (336) 765-0430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1619389202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (336) 765-5221
Other names Novant Health Colon And Rectal Clinic
NPI enumeratedMay 30, 2014
Last updated in NPPESMarch 11, 2015
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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