OrganizationActive
Novant Medical Group, Inc
NPI 1295089936 · Medical Oncology Physician · Charlotte, NC
Provider details
- NPI number
- 1295089936
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp of Nmg Finance(704) 384-5373
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1718 E 4th St Ste 105
Charlotte, NC 28204-3193
Phone: (704) 384-5373
Fax: (704) 417-4400
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Multidisciplinary Cancer Clinic
Registry dates
- Enumerated
- 2012-11-02
- Last updated
- 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.