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NOVANT HEALTH GATEWAY FAMILY MEDICINE
NPI 1073076956
Family Medicine in Winston Salem, NC

Active since April 09, 2019CLIA 34D1080075 · Waiver
390 W SALEM AVE, WINSTON SALEM, NC 27101(336) 721-2375(336) 721-2394 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jul 10, 2023, Aug 18, 2021 and 1 more (4 updates tracked since 2019).

About Novant Health Gateway Family Medicine NPPES

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

NOVANT HEALTH GATEWAY FAMILY MEDICINE (NPI 1073076956) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1073076956
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address390 W SALEM AVEWinston Salem, NC 27101-5861
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 721-2375
Fax(336) 721-2394
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateApril 9, 2019
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1073076956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
390 W SALEM AVE, Winston Salem, NC 27101
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Gateway Family Medicine

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, 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 Gateway Family Medicine 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 Gateway Family Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 633 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
Thomas Jolly, MD
Family Practice
NPI 1922069079
390 W SALEM AVE
Winston Salem, NC 27101
(336) 721-2375
✔ PECOS✔ Accepts MedicareSame address
Jonathan Mack, MD
Family Practice
NPI 1013658699
390 W SALEM AVE
Winston Salem, NC 27101
(336) 721-2375
✔ PECOS✔ Accepts MedicareSame address
Erica Robbins, NP
Nurse Practitioner
NPI 1720461544
390 W SALEM AVE
Winston Salem, NC 27101
(336) 721-2375
✔ PECOS✔ Accepts MedicareSame address
Antonette Scott, FNP
Nurse Practitioner
NPI 1700558434
390 W SALEM AVE
Winston Salem, NC 27101
(336) 721-2375
✔ PECOS✔ Accepts MedicareSame address
Lia Erickson, MD
Pediatric Medicine
NPI 1083714364
648 EAST MONMOUTH STREET
Winston Salem, NC 27107
(336) 718-4630
✔ PECOS1.3 mi
Ashley Hill, NP
Nurse Practitioner
NPI 1407011398
648 EAST MONMOUTH STREET
Winston Salem, NC 27107
(336) 718-4360
✔ PECOS1.3 mi
Dileep Kumar, MD
Hospitalist
NPI 1033477781
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2255
✔ PECOS✔ Accepts Medicare1.6 mi
Joshua Rickey, M.D.
General Surgery
NPI 1164742748
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-3813
✔ PECOS✔ Accepts Medicare1.6 mi
Ramey Elsarrag, MD
Hematology/Oncology
NPI 1841829066
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-5440
✔ PECOS✔ Accepts Medicare1.7 mi
Derek Ayers, D.O.
Psychiatry
NPI 1912340324
MEDICAL CENETER BLVD
Winston Salem, NC 27157
(336) 716-3601
✔ PECOS✔ Accepts Medicare1.7 mi
Andrea Bell, MD
Internal Medicine
NPI 1417311085
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 713-4156
✔ PECOS✔ Accepts Medicare1.7 mi
Evander Britt, MD
Anesthesiology
NPI 1770087827
MEDICAL CENTER BOULEVARD
Winston Salem, NC 27157
(336) 716-4426
✔ PECOS✔ Accepts Medicare1.7 mi
Daniel Murphy, M.D.
Gastroenterology
NPI 1568429405
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-3636
✔ PECOS✔ Accepts Medicare1.7 mi
William Shaw, MD
Cardiovascular Disease (Cardiology)
NPI 1467517631
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-6674
✔ PECOS✔ Accepts Medicare1.7 mi
Richard Bey, MD
Neurology
NPI 1336107333
200 E 10TH ST
Winston Salem, NC 27101
(336) 201-5600
✔ PECOS✔ Accepts Medicare1.7 mi
Kristina Beck, LCSWA, LCASA
Clinical Social Worker
NPI 1013560309
1001 REYNOLDA RD
Winston Salem, NC 27104
(336) 721-7600
✔ PECOS2.3 mi
Loray Blair Britt, M.D.
Family Practice
NPI 1932191400
2001 TODAYS WOMAN AVE
Winston Salem, NC 27105
(336) 722-1818
✔ PECOS✔ Accepts Medicare2.6 mi
Elizabeth Fish
Surgical Oncology
NPI 1902366982
2825 LYNDHURST AVE STE 101
Winston Salem, NC 27103
(336) 277-6300
✔ PECOS✔ Accepts Medicare2.7 mi
David Hiller, M.D.
Colorectal Surgery (Proctology)
NPI 1548550544
2825 LYNDHURST AVE STE 101
Winston Salem, NC 27103
(336) 277-4075
✔ PECOS✔ Accepts Medicare2.7 mi
Ashley Kaiser, M.D.
Vascular Surgery
NPI 1063732634
2827 LYNDHURST AVE STE 203
Winston Salem, NC 27103
(336) 794-8624
✔ PECOS✔ Accepts Medicare2.7 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.

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 of Waiver 34D1080075

Novant Health Gateway Family Medicine · Winston-Salem, NC
Active · expires Mar 31, 2027
CLIA Number34D1080075
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMr. Phillip Kelley
Laboratory Phone(336) 721-2375
Laboratory LocationNovant Health Gateway Family Medicine390 Salem Avenue, Winston-Salem, NC 27101
CLIA data matches this NPI record on: Name Phone
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 1073076956. It was assigned to this organization in the NPPES registry on April 9, 2019. The provider is doing business as Novant Health Gateway Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 390 W Salem Ave, Winston Salem, NC 27101. The listed phone number is (336) 721-2375.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 4 practice at this address and 633 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 34D1080075) is associated with this NPI, valid through March 31, 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 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 July 9, 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.