OrganizationActive
Novant Medical Group, Inc
NPI 1063963080 · Urology Physician · Kernersville, NC
Novant Medical Group, Inc is a Urology Physician organization in Kernersville, NC (NPI 1063963080).
Provider details
- NPI number
- 1063963080
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoff Gardner, Vp of Finance(704) 384-9672
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1730 Kernersville Medical Pkwy Ste 303
Kernersville, NC 27284-7198
Phone: (336) 564-4430
Fax: (336) 993-0826
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Urology
Additional practice locations (1)
- 445 Pineview DriveSuite 200Kernersville, NC 27284-3818Phone: (704) 384-9672Fax: (704) 316-8725
Registry dates
- Enumerated
- 2016-10-14
- Last updated
- 2022-07-21
Frequently asked questions
- What is Novant Medical Group, Inc's NPI number?
- Novant Medical Group, Inc's National Provider Identifier (NPI) is 1063963080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Novant Medical Group, Inc?
- Novant Medical Group, Inc is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Novant Medical Group, Inc located?
- Novant Medical Group, Inc's practice location on file with NPPES is 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198.
- What is Novant Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Novant Medical Group, Inc is (336) 564-4430.
- Who is the authorized official for Novant Medical Group, Inc?
- The authorized official listed on Novant Medical Group, Inc's NPPES record is Geoff Gardner, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Novant Medical Group, Inc's NPI active?
- Yes — Novant Medical Group, Inc's NPI (1063963080) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.