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NOVANT HEALTH QUEEN CITY OB/GYN
NPI 1073015731
Obstetrics & Gynecology in Charlotte, NC

Active since March 08, 2018CLIA 34D2129097 · Microscopy
2100 S TRYON ST STE 201, CHARLOTTE, NC 28203(704) 316-3000(704) 316-3001 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Oct 3, 2023, Jul 12, 2023 and 2 more (5 updates tracked since 2018).

About Novant Health Queen City Ob/gyn NPPES

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

NOVANT HEALTH QUEEN CITY OB/GYN (NPI 1073015731) is a healthcare organization registered as an obstetrics & gynecology in Charlotte, North Carolina and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through April 11, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1073015731
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address2100 S TRYON ST STE 201Charlotte, NC 28203-5031
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-3000 · Fax (704) 316-3001
Phone(704) 316-3000
Fax(704) 316-3001
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMarch 8, 2018
Last NPPES UpdateJune 21, 20245 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1073015731 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.
2100 S TRYON ST STE 201, Charlotte, NC 28203
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Other Names 1

Doing Business AsNovant Health Queen City Ob/gyn

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2129097

Novant Health Queen City Ob/Gyn · Charlotte, NC
Active · expires Apr 11, 2027
CLIA Number34D2129097
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorJessica J. Deane-Wyman
Laboratory Phone(704) 316-3000
Laboratory LocationNovant Health Queen City Ob/Gyn2100 South Tryon Street Suite 201, Charlotte, NC 28203
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.

Other Providers at the Same Location NPPES

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

STEPHANIE EVANS WELSH MD, MPH
Obstetrics & Gynecology
2100 S TRYON ST STE 201
CHARLOTTE, NC 28203
Mecklenburg County (704) 316-3000

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 1073015731. It was assigned to this organization in the NPPES registry on March 8, 2018. The provider is doing business as Novant Health Queen City Ob/Gyn.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 2100 S Tryon St Ste 201, Charlotte, NC 28203. The listed phone number is (704) 316-3000.

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

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

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2129097) is associated with this NPI, valid through April 11, 2027. 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 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.