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

Active since February 06, 2012CLIA 34D2037175 · Microscopy
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: October 25, 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 holds a CLIA Microscopy certificate valid through August 25, 2028 and 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, 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 Triad Obstetrics & Gynecology 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 Triad Obstetrics & Gynecology, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 618 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
Jully Aguirre, M.D.
Obstetrics/Gynecology
NPI 1437446291
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS✔ Accepts MedicareSame address
Faith Daggs, M.D.
Obstetrics/Gynecology
NPI 1821082280
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOSSame address
Danielle Krites, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1487366175
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS✔ Accepts MedicareSame address
Lewis Lipscomb, M.D.
Obstetrics/Gynecology
NPI 1851333272
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS✔ Accepts MedicareSame address
Alexis Simon, M.D.
Obstetrics/Gynecology
NPI 1700172111
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Williams, D.O.
Obstetrics/Gynecology
NPI 1598178303
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS✔ Accepts MedicareSame address
William Berger, M.D.
General Surgery
NPI 1497715213
2915 LYNDHURST AVE
Winston-salem, NC 27103
(336) 765-5221
✔ PECOS✔ Accepts Medicare0.1 mi
Kevin Spainhour, N.P.
Nurse Practitioner
NPI 1548620719
2915 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-5221
✔ PECOS✔ Accepts Medicare0.1 mi
Kendra Barry, MD
Pediatric Medicine
NPI 1952575565
2821 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 718-3960
✔ PECOS0.1 mi
Joel Deonanan, M.D.
Vascular Surgery
NPI 1699955427
2827 LYNDHURST AVE STE 203
Winston Salem, NC 27103
(336) 794-8624
✔ PECOS✔ Accepts Medicare0.1 mi
Elizabeth Fish
Surgical Oncology
NPI 1902366982
2825 LYNDHURST AVE STE 101
Winston Salem, NC 27103
(336) 277-6300
✔ PECOS✔ Accepts Medicare0.1 mi
Farhan Ahmed, M.D.
Pulmonary Disease
NPI 1396978797
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Bregman, M.D.
Internal Medicine
NPI 1780863332
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.1 mi
Blair Brown, M.D.
Critical Care (Intensivists)
NPI 1861874539
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.1 mi
David Hiller, M.D.
Colorectal Surgery (Proctology)
NPI 1548550544
2825 LYNDHURST AVE STE 101
Winston Salem, NC 27103
(336) 277-4075
✔ PECOS✔ Accepts Medicare0.1 mi
Kai Chen, MD
Obstetrics/Gynecology
NPI 1568780062
1806 S HAWTHORNE RD STE 200
Winston Salem, NC 27103
(336) 718-3170
✔ PECOS✔ Accepts Medicare0.2 mi
Obinna Ikwechegh, MD
Psychiatry
NPI 1952582967
3000 BETHESDA PL STE 104
Winston Salem, NC 27103
(336) 293-4107
✔ PECOS✔ Accepts Medicare0.2 mi
Stefanie Bates, CNM
Certified Nurse Midwife (CNM)
NPI 1780008722
1900 S HAWTHORNE RD STE 614
Winston Salem, NC 27103
(336) 277-0340
✔ PECOS0.2 mi
Kathryn Stevens
Qualified Speech Language Pathologist
NPI 1730741968
1903 S HAWTHORNE RD
Winston Salem, NC 27103
(336) 718-6700
0.3 mi
Thomas Arne, D.P.M.
Podiatry
NPI 1508814633
3057 TRENWEST DR
Winston Salem, NC 27103
(336) 765-0710
✔ PECOS✔ Accepts Medicare0.3 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 for Provider-Performed Microscopy Procedures (PPMP) 34D2037175

Novant Health Triad Obstetrics & Gynecology · Winston-Salem, NC
Active · expires Aug 25, 2028
CLIA Number34D2037175
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
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.

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, 6 practice at this address and 618 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 for Provider-Performed Microscopy Procedures (PPMP) (number 34D2037175) is associated with this NPI, valid through August 25, 2028. 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 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.