OrganizationActive
Novant Medical Group, Inc.
NPI 1639620107 · Family Medicine Physician · Winston Salem, NC
Provider details
- NPI number
- 1639620107
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp of Finance(704) 384-7605
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 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
3 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
50 Miller St
Ste G
Winston Salem, NC 27104
Phone: (704) 384-7605
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Miller Street Family Medicine
Additional practice locations (2)
- 50 Miller StSte GWinston Salem, NC 27104-4206Phone: (704) 384-7605
- 50 Miller StSte GWinston Salem, NC 27104-4206Phone: (704) 384-7605
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2018-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.