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NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY
NPI 1083986111
Obstetrics & Gynecology in Winston Salem, NC

Active since February 06, 2012
2909 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103(336) 277-0340(336) 277-0359 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

About Novant Health Triad Obstetrics & Gynecology NPPES

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

NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY (NPI 1083986111) is a healthcare organization registered as an obstetrics & gynecology in Winston Salem, North Carolina and active in the NPI registry since February 2012. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1083986111
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address2909 MAPLEWOOD AVENUEWinston Salem, NC 27103
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 277-0340 · Fax (336) 277-0359
Phone(336) 277-0340
Fax(336) 277-0359
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1083986111 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.
2909 MAPLEWOOD AVENUE, Winston Salem, NC 27103
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Other Names 1

Doing Business AsNovant Health Triad Obstetrics & Gynecology

Other Identifiers 2

Other5919510NC · Former Nc Medicaid Number
Medicaid1083986111NC

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) 34D2037175

Novant Health Triad Obstetrics & Gynecology · Winston-Salem, NC
Expired · Aug 25, 2026
CLIA Number34D2037175
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorAlexis N. Simon
Laboratory Phone(336) 277-0340
Laboratory LocationNovant Health Triad Obstetrics & Gynecology2909 Maplewood Avenue, Winston-Salem, NC 27103
CLIA data matches this NPI record on: 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.

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 1083986111. It was assigned to this organization in the NPPES registry on February 6, 2012. The provider is doing business as Novant Health Triad Obstetrics & Gynecology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 2909 Maplewood Avenue, Winston Salem, NC 27103. The listed phone number is (336) 277-0340.

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

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

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.