OrganizationNovant Medical Group Inc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479(704) 316-1265(704) 316-1635PECOS EnrollmentBased on the most recent information from CMS, provider Novant Medical Group Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1407197643Provider TypeOrganizationFull NameNovant Medical Group IncOther Name<Unavail>SubpartNoEnumeration Date3/13/2013Last Updated8/17/2021Contact InformationPractice LocationPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479Phone(704) 316-1265Fax(704) 316-1266Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(704) 316-1635Fax(704) 316-1636Authorized OfficialNameDavis, Shala (Managed Care Manager)Phone(704) 303-7517Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer