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NOVANT HEALTH SOUTHEAST OB/GYN
NPI 1063753325
Obstetrics & Gynecology in Matthews, NC

Active since March 12, 2013CLIA Certified · 2 labs
1450 MATTHEWS TOWNSHIP PKWY, SUITE 300, MATTHEWS, NC 28105(704) 321-1077(704) 321-1086 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Jul 12, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Southeast Ob/gyn NPPES

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

NOVANT HEALTH SOUTHEAST OB/GYN (NPI 1063753325) is a healthcare organization registered as an obstetrics & gynecology in Matthews, North Carolina and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1063753325
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1450 MATTHEWS TOWNSHIP PKWY, SUITE 300Matthews, NC 28105-2387
Mailing AddressPo Box 602362Charlotte, NC 28260-2362 · (704) 321-1077
Phone(704) 321-1077
Fax(704) 321-1086
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMarch 12, 2013
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1063753325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1450 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105
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Other Names 1

Doing Business AsNovant Health Southeast Ob/gyn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Southeast Ob/gyn 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 Southeast Ob/Gyn, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 908 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
Souheil Abdel Nour
Pulmonary Disease
NPI 1255511028
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts MedicareSame address
Cortney Akers, DO
Obstetrics/Gynecology
NPI 1194288415
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 321-1077
✔ PECOS✔ Accepts MedicareSame address
Navneet Arora, M.D
Critical Care (Intensivists)
NPI 1821367228
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts MedicareSame address
Valerie Calkin, AGACNP
Nurse Practitioner
NPI 1598190894
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts MedicareSame address
Stacey Dorn, CNM
Certified Nurse Midwife (CNM)
NPI 1780490730
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 321-1077
✔ PECOSSame address
Lisa Dunton, CNM
Certified Nurse Midwife (CNM)
NPI 1629637061
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOSSame address
Emily Ellington, CNM
Certified Nurse Midwife (CNM)
NPI 1407523772
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 321-1077
✔ PECOSSame address
Todd Jenkins
Obstetrics/Gynecology
NPI 1336164482
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 321-1077
✔ PECOS✔ Accepts MedicareSame address
Raven Jones, FNP-BC
Nurse Practitioner
NPI 1386352698
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 316-6860
✔ PECOS✔ Accepts MedicareSame address
Rebecca Lane
Obstetrics/Gynecology
NPI 1386207009
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 865-7416
✔ PECOS✔ Accepts MedicareSame address
Kara Link
Nurse Practitioner
NPI 1023800513
1450 MATTHEWS TOWNSHIP PKWY STE 300
Matthews, NC 28105
(704) 316-6860
✔ PECOS✔ Accepts MedicareSame address
Amy Parris, NP
Nurse Practitioner
NPI 1023630373
1450 MATTHEWS TOWNSHIP PKWY STE 250
Matthews, NC 28105
(704) 841-1444
✔ PECOS✔ Accepts MedicareSame address
Yasmeen Patterson, FNP-C
Nurse Practitioner
NPI 1760374482
1450 MATTHEWS TOWNSHIP PKWY STE 280
Matthews, NC 28105
(704) 316-5166
✔ PECOS✔ Accepts MedicareSame address
Ana Rainey, CNM
Certified Nurse Midwife (CNM)
NPI 1649875113
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOSSame address
Delilah Rivera Rosario, FNP
Nurse Practitioner
NPI 1467180406
1450 MATTHEWS TOWNSHIP PKWY STE 280
Matthews, NC 28105
(704) 316-5166
✔ PECOS✔ Accepts MedicareSame address
Peter Salib, M.D.
Obstetrics/Gynecology
NPI 1639480569
1450 MATTHEWS TOWNSHIP PARKWAY SUITE 300
Matthews, NC 28105
(704) 321-1077
✔ PECOS✔ Accepts MedicareSame address
Jheel Shah
Obstetrics/Gynecology
NPI 1396108411
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOS✔ Accepts MedicareSame address
Yukino Shope, CNM
Certified Nurse Midwife (CNM)
NPI 1881584779
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOSSame address
Dixon Dehority, MD
Hospitalist
NPI 1376538439
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-9740
✔ PECOS✔ Accepts MedicareSame address
Zelalem Gebreananya, MD
Internal Medicine
NPI 1023386901
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-9740
✔ PECOS✔ Accepts MedicareSame address
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.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0983848

Novant Health Southeast Ob/Gyn · Matthews, NC
Active · expires Mar 6, 2027
CLIA Number34D0983848
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorPeter Salib
Laboratory Phone(704) 321-1077
Laboratory LocationNovant Health Southeast Ob/Gyn1450 Matthews Township Pkwy Suite 300, Matthews, NC 28105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 34D2345241

Novant Health Elizabeth Ob/Gyn · Matthews, NC
Active · expires Jun 7, 2028
CLIA Number34D2345241
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorTodd Jenkins
Laboratory Phone(704) 316-6860
Laboratory LocationNovant Health Elizabeth Ob/Gyn1450 Matthews Township Pkwy, Ste 300, Matthews, NC 28105
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1063753325. It was assigned to this organization in the NPPES registry on March 12, 2013. The provider is doing business as Novant Health Southeast Ob/Gyn.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1450 Matthews Township Pkwy Suite 300, Matthews, NC 28105. The listed phone number is (704) 321-1077.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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, 19 practice at this address and 908 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 June 21, 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.