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NOVANT HEALTH UNIVERSITY CITY INTERNAL MEDICINE
NPI 1093759136
Internal Medicine in Charlotte, NC

Active since June 16, 2006CLIA 34D1002215 · Waiver
8401 MEDICAL PLAZA DR, SUITE 250, CHARLOTTE, NC 28262(704) 384-1500(704) 384-1525 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 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health University City Internal Medicine NPPES

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

NOVANT HEALTH UNIVERSITY CITY INTERNAL MEDICINE (NPI 1093759136) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1093759136
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address8401 MEDICAL PLAZA DR, SUITE 250Charlotte, NC 28262-8700
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1500 · Fax (704) 384-1525
Phone(704) 384-1500
Fax(704) 384-1525
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1093759136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
8401 MEDICAL PLAZA DR, Charlotte, NC 28262
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Other Names 1

Doing Business AsNovant Health University City Internal Medicine

Other Identifiers 4

Other011JANC · Bcbs Nc
Medicaid89011JANC
MedicaidNPA915SC
OtherCC5118NC · Railroad Medicare

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 University City Internal 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 University City Internal Medicine, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 770 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
Verdaro Draughn, LPC
Mental Health Counselor
NPI 1689032088
8401 MEDICAL PLAZA DR STE 360
Charlotte, NC 28262
(704) 208-4458
✔ PECOSSame address
Trent John, MD
Pediatric Medicine
NPI 1821298522
8401 MEDICAL PLAZA DR SUITE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOSSame address
Emily Ogletree, MD
Pediatric Medicine
NPI 1639565526
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOSSame address
Niyomi Patel, M.D.
Pediatric Medicine
NPI 1639557481
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOSSame address
Sheley Revis, MD
Internal Medicine
NPI 1407887573
8401 MEDICAL PLAZA DR SUITE 250
Charlotte, NC 28262
(704) 384-1500
✔ PECOSSame address
Steven Stallard
Internal Medicine
NPI 1023540002
8401 MEDICAL PLAZA DR STE 250
Charlotte, NC 28262
(704) 384-1500
✔ PECOS✔ Accepts MedicareSame address
India Taylor, FNP
Nurse Practitioner
NPI 1144809435
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOSSame address
Andreas Magnusson, MD
Family Practice
NPI 1457086233
10320 MALLARD CREEK RD STE 271
Charlotte, NC 28262
(704) 412-8297
✔ PECOS✔ Accepts Medicare1.5 mi
Vanessa Pethel
Nurse Practitioner
NPI 1689384901
10515 MALLARD CREEK RD
Charlotte, NC 28262
(704) 547-9739
✔ PECOS✔ Accepts Medicare1.7 mi
Belinda Cohen, NP
Nurse Practitioner
NPI 1598480592
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts Medicare1.7 mi
Mark Inda, DO
Family Practice
NPI 1659877678
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts Medicare1.7 mi
Ryan Caldwell, M.D.
Hospitalist
NPI 1730210089
8800 NORTH TRYON STREET
Charlotte, NC 28262
(704) 863-6241
✔ PECOS✔ Accepts Medicare1.9 mi
Tamilarasi Kannan, M.D.
Internal Medicine
NPI 1487628657
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts Medicare2.6 mi
Amy Morgan, MD
Pediatric Medicine
NPI 1932171287
5370 RIDGE RD
Charlotte, NC 28269
(704) 316-1491
✔ PECOS3.8 mi
Erin Harris, M.D.
Pediatric Medicine
NPI 1619001989
5370 RIDGE RD
Charlotte, NC 28269
(704) 316-1491
✔ PECOS3.8 mi
J. Crystal Johnson, LPC
Mental Health Counselor
NPI 1053359380
2134 DEMBRIGH LN
Charlotte, NC 28262
(704) 548-1062
✔ PECOS✔ Accepts Medicare4.1 mi
Alyssa Goodwine, LCMHC
Mental Health Counselor
NPI 1508412750
405 KINGS CROSSING DR
Charlotte, NC 28206
(814) 528-1000
✔ PECOS✔ Accepts Medicare4.2 mi
Christopher Bashore, MD
Orthopedic Surgery
NPI 1417956087
280 BROAD STREET SUITE B
Kernerville, NC 28284
(336) 992-2672
✔ PECOS✔ Accepts Medicare4.4 mi
Erin Straight, MD
Obstetrics/Gynecology
NPI 1427445527
101 E W T HARRIS BLVD STE 5301
Charlotte, NC 28262
(704) 863-9640
✔ PECOS✔ Accepts Medicare4.5 mi
Joseph Gentile, M.D.
Orthopedic Surgery
NPI 1871757724
6909 PROSPERITY CHURCH RD
Huntersville, NC 28078
(704) 384-1680
✔ PECOS4.6 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 34D1002215

Novant Health University City Internal Medicine · Charlotte, NC
Active · expires Jul 17, 2027
CLIA Number34D1002215
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorSheley R. Revis
Laboratory Phone(704) 384-1500
Laboratory LocationNovant Health University City Internal Medicine8401 Medical Plaza Drive, Suite 250, Charlotte, NC 28262
CLIA data matches this NPI record on: Address 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 1093759136. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Novant Health University City Internal Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 8401 Medical Plaza Dr Suite 250, Charlotte, NC 28262. The listed phone number is (704) 384-1500.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 7 practice at this address and 770 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 34D1002215) is associated with this NPI, valid through July 17, 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.