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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: October 25, 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
Phone(336) 774-3740
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
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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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 616 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Hassan Alhosaini, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1144200734
2025 FRONTIS PLAZA BLVD STE 100
Winston Salem, NC 27103
(336) 718-6199
✔ PECOS✔ Accepts MedicareSame address
John Chewning, M.D.
Sleep Medicine
NPI 1780798652
2025 FRONTIS PLAZA BLVD STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Sean Giese, FNP-BC
Nurse Practitioner
NPI 1902050321
2025 FRONTIS PLAZA BLVD SUITE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Cora Robbins, NP
Nurse Practitioner
NPI 1003533191
2025 FRONTIS PLAZA BLVD STE 100
Winston Salem, NC 27103
(336) 718-6199
✔ PECOS✔ Accepts MedicareSame address
Michael Verenes
Neurology
NPI 1760802474
2025 FRONTIS PLAZA BLVD STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Brooke Crossley, M.D.
Internal Medicine
NPI 1851787840
730 HIGHLAND OAKS DR STE 201
Winston Salem, NC 27103
(336) 768-2425
✔ PECOS✔ Accepts MedicareSame address
Chelsea Barber, RDN, LDN
Registered Dietitian or Nutrition Professional
NPI 1104500495
760 HIGHLAND OAKS DR STE 200
Winston Salem, NC 27103
(336) 277-4380
0.1 mi
Caroline Kelly, LCSW
Clinical Social Worker
NPI 1891289112
760 HIGHLAND OAKS DR STE 200
Winston Salem, NC 27103
(336) 277-4380
✔ PECOS✔ Accepts Medicare0.1 mi
Claire Bowles, MD
Obstetrics/Gynecology
NPI 1083604284
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
(704) 316-4136
✔ PECOS✔ Accepts Medicare0.1 mi
Zoe Comer, NP
Nurse Practitioner
NPI 1871722538
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
(336) 718-0050
✔ PECOS✔ Accepts Medicare0.1 mi
Maria Iruela, M.D.
Geriatric Medicine
NPI 1255376752
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
(336) 481-8655
✔ PECOS✔ Accepts Medicare0.1 mi
Nardin Khalil, MD
Family Practice
NPI 1386932838
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
(980) 217-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Lauren Gandhi, M.D.
Dermatology
NPI 1447257092
3333 BROOKVIEW HILLS BLVD STE 204
Winston Salem, NC 27103
(336) 774-3740
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Meadows, MD
Neurology
NPI 1386667343
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts Medicare0.2 mi
Kevin Shah
Neurosurgery
NPI 1467816983
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts Medicare0.2 mi
Rachel Baldwin, MD, MPH
Preventive Medicine
NPI 1679614564
190 KIMEL PARK DR STE 125
Winston Salem, NC 27103
(336) 277-6009
✔ PECOS✔ Accepts Medicare0.2 mi
Scott Nimmons, MD
Orthopedic Surgery
NPI 1386090579
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts Medicare0.2 mi
Rahel Alemu, M.D.
Cardiovascular Disease (Cardiology)
NPI 1194039636
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.3 mi
Mousumi Andersen, M.D.
Interventional Cardiology
NPI 1740577915
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.3 mi
Rafael Cavalcanti, M.D.
Cardiac Electrophysiology
NPI 1417248089
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare0.3 mi
See all 2,991 clinicians

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

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.

Is Novant Health Medical Group, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 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 (759), Family Practice (327) and Hospitalist (302). Of these, 5 practice at this address and 616 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20 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.