OrganizationNovant Medical Group, Inc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address13245 Reese Blvd W Ste 100, Huntersville, NC 28078-6390(704) 384-7606PECOS 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 ID1679022131Provider TypeOrganizationFull NameNovant Medical Group, IncOther Name<Unavail>SubpartNoEnumeration Date9/26/2016Last Updated8/19/2021Contact InformationPractice LocationPractice Address13245 Reese Blvd W Ste 100, Huntersville, NC 28078-6390Phone(704) 384-7606FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(704) 384-7606FaxUnlisted FaxAuthorized OfficialNameDavis, Shala (Manager)Phone(704) 303-7517Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer