Nmg Affilate Practice I LLC
Nmg Affilate Practice I LLC is a healthcare organization registered as Hematology & Oncology Physician in Eden, NC, holding Type 2 (organization) NPI 1689077539 since 2014. The authorized official on file is Geoffrey Gardner, Vp Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689077539 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nmg Affilate Practice I LLC |
| Other name | <Unavail> |
| Practice address | 516 S VAN BUREN RD, Eden, NC, 27288 |
| Phone | 3366239713 |
| Fax | 3366231031 |
| Enumeration date | 2014-10-07 |
| Last updated in NPPES | 2015-05-14 |
Authorized official
| Name | Geoffrey Gardner |
|---|---|
| Title | Vp Finance |
| Phone | 7043847603 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RX0202X | Medical Oncology Physician | Secondary | — | — |
| 207VX0201X | Gynecologic Oncology Physician | Secondary | — | — |
| 207RH0003X | Hematology & Oncology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689077539 | Medicaid | NC | — |
Copy-ready billing details
Provider: Nmg Affilate Practice I LLC NPI: 1689077539 Taxonomy: 207RH0003X (Hematology & Oncology Physician) Address: 516 S VAN BUREN RD, Eden, NC, 27288
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528069226 | Kanan Hudhud | Individual | Hematology & Oncology Physician | Eden, NC |
| 1033101670 | Lillian Burke | Individual | Hematology & Oncology Physician | Eden, NC |
| 1437119997 | Michael Bruin | Individual | Radiation Oncology Physician | Eden, NC |
| 1366495822 | Eric Neijstrom | Individual | Medical Oncology Physician | Eden, NC |
| 1952341489 | James Hathorn | Individual | Hematology & Oncology Physician | Eden, NC |
| 1285660332 | Maricer Escalon | Individual | Hematology & Oncology Physician | Eden, NC |
| 1194743716 | Sandeep Pandit | Individual | Hematology & Oncology Physician | Eden, NC |
| 1821463027 | Novant Medical Group, Inc | Organization | Hematology & Oncology Physician | Eden, NC |
Verify this record
Cross-check NPI 1689077539 against the authoritative CMS record: view Nmg Affilate Practice I LLC 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
How current is this record?
Where is Nmg Affilate Practice I LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-14.