Nova Ic, Inc.
Nova Ic, Inc. is a healthcare organization registered as Psychiatry Physician in Goldsboro, NC, holding Type 2 (organization) NPI 1053634824 since 2010. The authorized official on file is Tracey Pridgen, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053634824 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nova Ic, Inc. |
| Practice address | 2307 NORWOOD AVE STE A, Goldsboro, NC, 27534 |
| Phone | 9197358887 |
| Fax | 9197358871 |
| Enumeration date | 2010-03-09 |
| Last updated in NPPES | 2025-10-08 |
Authorized official
| Name | Tracey Pridgen |
|---|---|
| Title | Cfo |
| Phone | 9197348803 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406164 | Medicaid | NC | — |
| 340608V | Medicaid | NC | — |
| 3406058 | Medicaid | NC | — |
| 340610M | Medicaid | NC | — |
| 8302565 | Medicaid | NC | — |
| 6006439 | Medicaid | NC | — |
| 3406289 | Medicaid | NC | — |
| 3406312 | Medicaid | NC | — |
| 340609R | Medicaid | NC | — |
| 3406174 | Medicaid | NC | — |
| 8302772 | Medicaid | NC | — |
Copy-ready billing details
Provider: Nova Ic, Inc. NPI: 1053634824 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 2307 NORWOOD AVE STE A, Goldsboro, NC, 27534
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831418185 | Nova Ic, Inc. | Organization | Community/Behavioral Health Agency | Goldsboro, NC |
| 1750684015 | Nova Ic, Inc. | Organization | Community/Behavioral Health Agency | Goldsboro, NC |
| 1649574450 | Nova Ic, Inc | Organization | Community/Behavioral Health Agency | Goldsboro, NC |
| 1619267606 | Nova Ic Inc | Organization | Case Management Agency | Goldsboro, NC |
| 1538459524 | Nova Ic Inc | Organization | Community/Behavioral Health Agency | Goldsboro, NC |
| 1669763421 | Nova Ic, Inc | Organization | Community/Behavioral Health Agency | Goldsboro, NC |
| 1366827321 | Kayzandra Bond | Individual | Psychologist | Goldsboro, NC |
| 1700330651 | Ryan Ford | Individual | Psychologist | Goldsboro, NC |
Verify this record
Cross-check NPI 1053634824 against the authoritative CMS record: view Nova Ic, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Nova Ic, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-08.