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NOVANT HEALTH CROWN POINT FAMILY PHYSICAN
NPI 1013962307
Family Medicine in Charlotte, NC

Active since May 24, 2006CLIA 34D0699199 · Certificate of Compliance
9101 MONROE RD, SUITE 155, CHARLOTTE, NC 28270(704) 384-1260(704) 384-1289 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jul 10, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Crown Point Family Physican NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH CROWN POINT FAMILY PHYSICAN (NPI 1013962307) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 12, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1013962307
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address9101 MONROE RD, SUITE 155Charlotte, NC 28270-2467
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1260 · Fax (704) 384-1289
Phone(704) 384-1260
Fax(704) 384-1289
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1013962307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
9101 MONROE RD, Charlotte, NC 28270
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Other Names 1

Doing Business AsNovant Health Crown Point Family Physican

Other Identifiers 2

Medicaid890272YNC
Other0272YNC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Crown Point Family Physican is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040204001028Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3,009

Medicare enrollment records show 3,009 clinicians reassign Medicare billing to Novant Health Crown Point Family Physican, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 935 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner761
Family Practice328
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology193
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)95
55 other specialties769

Nearest to this location (20)

See all 3,009
Jeffrey Balkenbush, MD
Family Practice
NPI 1376122028
9101 MONROE RD STE 155
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
April Corley, MD
Family Practice
NPI 1871854943
9101 MONROE RD
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
John Crawford, M.D.
Family Practice
NPI 1285629832
9101 MONROE RD SUITE 155
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
Vaishnavi Gadicharla, DO
Family Practice
NPI 1245980010
9101 MONROE RD STE 155
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
Milton Hester, M.D.
Family Practice
NPI 1619962784
9101 MONROE RD SUITE 155
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
Sushil Mittal, M.D.
Family Practice
NPI 1679533491
9101 MONROE RD STE 155
Charlotte, NC 28270
(704) 384-1260
✔ PECOS✔ Accepts MedicareSame address
Michelle Balmaceda, MD
Family Practice
NPI 1164659819
9600 E INDEPENDENCE BLVD
Matthews, NC 28105
(704) 384-8441
✔ PECOS1.8 mi
Ayeshia Wright, FNP
Nurse Practitioner
NPI 1215485867
9600 E INDEPENDENCE BLVD
Matthews, NC 28105
(704) 316-4846
✔ PECOS✔ Accepts Medicare1.8 mi
Violeta Mihailescu, MD
Geriatric Medicine
NPI 1194832691
855 SAM NEWELL RD STE 205
Matthews, NC 28105
(704) 316-5140
✔ PECOS✔ Accepts Medicare2.1 mi
Robert Goins, M.D.
Pediatric Medicine
NPI 1972574796
201 E MATTHEWS ST
Matthews, NC 28105
(704) 847-0572
✔ PECOS✔ Accepts Medicare2.3 mi
Nettie Beverly-Rudisel, M.D.
Internal Medicine
NPI 1598747388
1401 MATTHEWS TOWNSHIP PKWY SUITE 200
Matthews, NC 28105
(704) 384-6901
✔ PECOS2.4 mi
Courtney Caveny, MA, LMFT
Mental Health Counselor
NPI 1003210717
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.4 mi
Bhalaghuru Chokkalingam Mani, M.D.,
Interventional Cardiology
NPI 1336370808
1401 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 264-3500
✔ PECOS2.4 mi
Sumit Kalra, MD
Cardiovascular Disease (Cardiology)
NPI 1497941025
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 264-3500
✔ PECOS2.4 mi
Paulvalery Roulette, MD
Hand Surgery
NPI 1639431885
1401 MATTHEWS TOWNSHIP PKWY STE 210
Matthews, NC 28105
(704) 358-0308
✔ PECOS✔ Accepts Medicare2.4 mi
Kalpana Shanmugam, M.D
Psychiatry
NPI 1285827402
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 316-3145
✔ PECOS2.4 mi
Chelsea Williams, PA-C
Physician Assistant
NPI 1942748538
1401 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-6901
✔ PECOS✔ Accepts Medicare2.4 mi
Quinn Carroll, LCSW
Clinical Social Worker
NPI 1205931946
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.4 mi
Cynthia Nortey, MD
Infectious Disease
NPI 1629065644
1340 MATTHEWS TOWNSHIP PKWY STE 102
Matthews, NC 28105
(704) 316-3340
✔ PECOS✔ Accepts Medicare2.4 mi
Amit Asija, M.D.
Pulmonary Disease
NPI 1699907790
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts Medicare2.4 mi
See all 3,009 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D0699199

Novant Health Crown Point Family Physicians · Charlotte, NC
Active · expires Jul 12, 2028
CLIA Number34D0699199
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorMark Hester
Laboratory Phone(704) 384-1260
Laboratory LocationNovant Health Crown Point Family Physicians9101 Monroe Road, Suite 155, Charlotte, NC 28270
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1013962307. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Novant Health Crown Point Family Physican.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 9101 Monroe Rd Suite 155, Charlotte, NC 28270. The listed phone number is (704) 384-1260.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

When is Novant Health Medical Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,009 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (761), Family Practice (328) and Hospitalist (302). Of these, 6 practice at this address and 935 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0699199) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Novant Health Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.