NOVANT HEALTH MEDICAL GROUP, LLC
NPI 1043021686
Dermatology in Winston Salem, NC

Active since January 14, 2025
2025 FRONTIS PLAZA BLVD STE 120, WINSTON SALEM, NC 27103(336) 774-3740 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Novant Health Medical Group, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC (NPI 1043021686), doing business as Novant Health Premier Dermatology, is a healthcare organization registered as a dermatology in Winston Salem, North Carolina and active in the NPI registry since January 2025. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1043021686
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address2025 FRONTIS PLAZA BLVD STE 120Winston Salem, NC 27103-5663
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJanuary 14, 2025
Last NPPES UpdateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
NPI 1043021686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2025 FRONTIS PLAZA BLVD STE 120, Winston Salem, NC 27103

Other Names 1

Doing Business AsNovant Health Premier Dermatology

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2025 FRONTIS PLAZA BLVD STE 120
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Neurology)
2025 FRONTIS PLAZA BLVD STE 120
WINSTON SALEM, NC 27103

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 1043021686. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Novant Health Premier Dermatology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 2025 Frontis Plaza Blvd Ste 120, Winston Salem, NC 27103. The listed phone number is (336) 774-3740.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC 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 February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.