NOVANT HEALTH SOUTHEAST OB/GYN
NPI 1063753325
Obstetrics & Gynecology in Matthews, NC
NPI Status: Active since March 12, 2013
Contact Information
1450 MATTHEWS TOWNSHIP PKWY
SUITE 300
MATTHEWS, NC
ZIP 28105
Phone: (704) 321-1077
Fax: (704) 321-1086
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 34D0983848
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-06-2027
About NOVANT HEALTH SOUTHEAST OB/GYN
This page provides the complete NPI Profile along with additional information for Novant Health Southeast Ob/gyn, a women's health care provider established in Matthews, North Carolina operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063753325 assigned on March 2013. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Novant Health Southeast Ob/gyn. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)
- NPI
- 1063753325
- Provider Legal Name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Other Organization Name
- NOVANT HEALTH SOUTHEAST OB/GYN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1450 MATTHEWS TOWNSHIP PKWY SUITE 300 MATTHEWS, NC 28105
- Location Phone
- (704) 321-1077
- Location Fax
- (704) 321-1086
- Mailing Address
- PO BOX 602362 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 321-1077
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-12-2013
- Last Update Date
- 06-21-2024
- Code Navigator
Women's health care providers like Novant Health Southeast Ob/gyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0983848
- Facility Type
- Physician Office
- Certificate Effective Date
- March 07, 2025
- Certificate Expiration Date
- March 06, 2027
- Laboratory Director
- PETER SALIB
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Southeast Ob/gyn in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063753325, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
MATTHEWS, NC 28105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063753325, enumerated as an "organization" on March 12, 2013.
The provider is located at 1450 MATTHEWS TOWNSHIP PKWY SUITE 300 MATTHEWS, NC 28105 and the phone number is (704) 321-1077.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
