Novant Medical Group, Inc.
NPI 1417420795 · Family Medicine Physician · Advance, NC
Novant Medical Group, Inc. is a Family Medicine Physician organization in Advance, NC (NPI 1417420795).
Provider details
- NPI number
- 1417420795
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 316-7845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Other names (DBA / former)
- Doing business as
- Novant Health Bermuda Run Family Medicine
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-01-09
Frequently asked questions
- What is Novant Medical Group, Inc.'s NPI number?
- Novant Medical Group, Inc.'s National Provider Identifier (NPI) is 1417420795, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Novant Medical Group, Inc. located?
- Novant Medical Group, Inc.'s practice location on file with NPPES is 5380 US Highway 158 Ste 110, Advance, NC 27006-6979.
- 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) 893-3225.
- Who is the authorized official for Novant Medical Group, Inc.?
- The authorized official listed on Novant Medical Group, Inc.'s NPPES record is Shala Davis, Rcs Manager. 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 (1417420795) is active in the NPPES registry as of the last update on 2019-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.