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

Novant Medical Group Inc

Organization Emergency Medicine Physician · NPI 1730439944

Novant Medical Group Inc is an Emergency Medicine Physician in Cornelius, 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

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6582
Phone: (704) 384-1775
Fax: (704) 384-1776
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1730439944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Finance · (704) 384-9094
Other names Novant Health Lakeside Family Physicians
NPI enumeratedSeptember 14, 2012
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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