NOVANT HEALTH CHARLOTTE COLON & RECTAL SURGERY
NPI 1083959282
Surgery in Charlotte, NC

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1083959282. It was assigned to this organization in the NPPES registry on November 29, 2012. The provider is doing business as Novant Health Charlotte Colon & Rectal Surgery.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 29, 2012

1718 E 4TH ST STE 307, CHARLOTTE, NC 28204(704) 333-1259(704) 333-0371 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 (3 updates tracked since 2021).

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About Novant Health Charlotte Colon & Rectal Surgery NPPES

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

NOVANT HEALTH CHARLOTTE COLON & RECTAL SURGERY (NPI 1083959282) is a healthcare organization registered as a surgery in Charlotte, North Carolina and active in the NPI registry since November 2012. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1083959282

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address1718 E 4TH ST STE 307Charlotte, NC 28204-3283

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 333-1259 · Fax (704) 333-0371

Phone(704) 333-1259

Fax(704) 333-0371

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateNovember 29, 2012

Last NPPES UpdateJune 20, 20243 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1083959282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1718 E 4TH ST STE 307, Charlotte, NC 28204

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Other Names 1

Doing Business AsNovant Health Charlotte Colon & Rectal Surgery

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 Charlotte Colon & Rectal Surgery 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 Charlotte Colon & Rectal Surgery, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 868 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

Mercede Abrams, CNM, WHNP

Certified Nurse Midwife (CNM)

NPI 1437784667

1718 E 4TH ST STE 907
Charlotte, NC 28204

(607) 346-2528

✔ PECOSSame address

John Allbert, MD

Obstetrics/Gynecology

NPI 1518944420

1718 E 4TH ST SUITE 404
Charlotte, NC 28204

(704) 384-5701

✔ PECOS✔ Accepts MedicareSame address

Meredith Andrews, NP

Nurse Practitioner

NPI 1700416369

1718 E 4TH ST STE 307
Charlotte, NC 28204

(704) 333-1259

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Ausbeck, MD

Obstetrics/Gynecology

NPI 1548478019

1718 E 4TH ST STE 404
Charlotte, NC 28204

(704) 384-5701

✔ PECOS✔ Accepts MedicareSame address

Christie Babson, D.O.

Pediatric Medicine

NPI 1700229960

1718 E 4TH ST STE 601
Charlotte, NC 28204

(704) 384-0567

✔ PECOSSame address

Vanitha Banajjar Revanasiddappa, MD

Obstetrics/Gynecology

NPI 1669856217

1718 E 4TH ST STE 907
Charlotte, NC 28204

(704) 372-4000

✔ PECOS✔ Accepts MedicareSame address

Taria Battle

Nurse Practitioner

NPI 1912590852

1718 E 4TH ST STE 907
Charlotte, NC 28204

(704) 372-4000

✔ PECOS✔ Accepts MedicareSame address

Rochelle Campbell, CNM

Certified Nurse Midwife (CNM)

NPI 1841960192

1718 E 4TH ST STE 907
Charlotte, NC 28204

(704) 372-4000

✔ PECOSSame address

Guillaume Chevrollier, MD

Colorectal Surgery (Proctology)

NPI 1306265228

1718 E 4TH ST STE 307
Charlotte, NC 28204

(704) 333-1259

✔ PECOS✔ Accepts MedicareSame address

Gabriel Delgado, MD

Interventional Cardiology

NPI 1376511659

1718 E 4TH ST SUITE 501
Charlotte, NC 28204

(704) 343-9800

✔ PECOSSame address

James Durant, MD

Pediatric Medicine

NPI 1407168404

1718 E 4TH ST SUITE 601
Charlotte, NC 28204

(704) 384-0567

✔ PECOSSame address

Adrian Dusa, M.D.

Cardiovascular Disease (Cardiology)

NPI 1730232471

1718 E 4TH ST SUITE 501
Charlotte, NC 28204

(704) 343-9800

✔ PECOSSame address

Robert Fazia, MD

Cardiovascular Disease (Cardiology)

NPI 1093715039

1718 E 4TH ST SUITE 501
Charlotte, NC 28204

(704) 343-9800

✔ PECOS✔ Accepts MedicareSame address

Erin Graham, CNM

Certified Nurse Midwife (CNM)

NPI 1235554098

1718 E 4TH ST STE 907
Charlotte, NC 28204

(704) 372-4000

✔ PECOSSame address

William Hammill, MD

Pediatric Medicine

NPI 1659382059

1718 E 4TH ST SUITE 401
Charlotte, NC 28204

(704) 316-1220

✔ PECOS✔ Accepts MedicareSame address

Sandra Harris, PNP

Nurse Practitioner

NPI 1366494965

1718 E 4TH ST STE 807
Charlotte, NC 28204

(980) 488-9630

✔ PECOS✔ Accepts MedicareSame address

Amanie Jaber

Registered Dietitian or Nutrition Professional

NPI 1225759038

1718 E 4TH ST STE 207
Charlotte, NC 28204

(704) 384-7390

✔ Accepts MedicareSame address

Gretchen Jacox, LCSW-P

Clinical Social Worker

NPI 1760764500

1718 E 4TH ST STE 907
Charlotte, NC 28204

(704) 372-4000

✔ PECOSSame address

Kimberly Kyle-Trejos, RD

Registered Dietitian or Nutrition Professional

NPI 1992723811

1718 E 4TH ST STE 404
Charlotte, NC 28204

(980) 488-9730

Same address

Heather Nolan, MD

General Surgery

NPI 1992065932

1718 E 4TH ST STE 807
Charlotte, NC 28204

(980) 488-9630

✔ PECOSSame 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.

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 1083959282. It was assigned to this organization in the NPPES registry on November 29, 2012. The provider is doing business as Novant Health Charlotte Colon & Rectal Surgery.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1718 E 4th St Ste 307, Charlotte, NC 28204. The listed phone number is (704) 333-1259.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 44 practice at this address and 868 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 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 20, 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.