NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS
NPI 1518967546
Family Medicine in Mint Hill, NC
NPI Status: Active since August 01, 2005
Contact Information
4105 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28105
Phone: (704) 384-9920
Fax: (704) 384-9925
- Organization
- Family Medicine
- Accepts Insurance
About NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS
This page provides the complete NPI Profile along with additional information for Novant Health Pine Lake Family Physicians, a primary care provider established in Mint Hill, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1518967546 assigned on August 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Novant Health Pine Lake Family Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Pine Lake Family Physicians. The authorized official of this NPI record is Geoffery K Gardner (Vp Of Finance)
- NPI
- 1518967546
- Provider Legal Name
- NOVANT MEDICAL GROUP, INC.
- Other Organization Name
- NOVANT HEALTH PINE LAKE FAMILY PHYSICIANS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4105 MATTHEWS MINT HILL RD MINT HILL, NC 28105
- Location Phone
- (704) 384-9920
- Location Fax
- (704) 384-9925
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 384-9920
- Mailing Fax
- (704) 384-9925
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2005
- Last Update Date
- 07-26-2013
- Code Navigator
A primary care provider (PCP) like Novant Health Pine Lake Family Physicians sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 790209N | MEDICAID (05) | NC | |
| NPA894 | MEDICAID (05) | SC | |
| 2343183B | MEDICARE PIN (08) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 9 | 6 | 7 | 5 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 6 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 6 + 1 + 4 + 5 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1518967546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750381786 | DR. LLOYD BRIDGES M.D. Individual | Family Medicine | 4105 MATTHEWS MINT HILL RD MINT HILL, NC 28105 (704) 384-9920 |
| 1215125919 | CAROLINAS PHYSICIANS NETWORK INC. Organization | Family Medicine | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 545-4609 |
| 1366443392 | DR. BETH L CARLSON M.D. Individual | Family Medicine | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 384-9920 |
| 1386772952 | DR. KISHA ROCHELLE YOUNG M.D. Individual | Family Medicine | 4105 MATTHEWS MINT HILL RD MINT HILL, NC 28105 (704) 384-9920 |
| 1144671942 | TONIA DAVIS BAILEY FNP Individual | Nurse Practitioner | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 316-3095 |
| 1871065318 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Family Medicine | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 316-3095 |
| 1447857560 | SEIJI BORJA FNP Individual | Nurse Practitioner | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 316-3095 |
| 1285139410 | RONALD DESROUILLERES DO Individual | Family Medicine | 4105 MATTHEWS MINT HILL RD MATTHEWS, NC 28105 (704) 316-3095 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518967546, enumerated in the NPI registry as an "organization" on August 01, 2005
The provider is located at 4105 Matthews Mint Hill Rd Mint Hill, Nc 28105 and the phone number is (704) 384-9920
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.