NOVANT HEALTH LAKESIDE PRIMARY CARE
NPI 1093976474
Family Medicine in Concord, NC

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

The NPI number for Novant Health Medical Group, LLC is 1093976474. It was assigned to this organization in the NPPES registry on June 19, 2008. The provider is doing business as Novant Health Lakeside Primary Care.

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

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

Active since June 19, 2008CLIA Certified · 2 labs

5325 VINNING ST NW, SUITE 101, CONCORD, NC 28027(704) 316-1040(704) 316-1041 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

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About Novant Health Lakeside Primary Care NPPES

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

NOVANT HEALTH LAKESIDE PRIMARY CARE (NPI 1093976474) is a healthcare organization registered as a family medicine in Concord, North Carolina and active in the NPI registry since June 2008. The organization holds 2 active CLIA laboratory certificates and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1093976474

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address5325 VINNING ST NW, SUITE 101Concord, NC 28027-2956

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-1040 · Fax (704) 316-1041

Phone(704) 316-1040

Fax(704) 316-1041

Organization SubpartNo

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

Enumeration DateJune 19, 2008

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1093976474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

5325 VINNING ST NW, Concord, NC 28027

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Other Names 1

Doing Business AsNovant Health Lakeside Primary Care

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 2

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 34D1085366

Novant Health Lakeside Primary Care Afton · Concord, NC

Active · expires Jul 7, 2027

CLIA Number34D1085366

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorKeith E. Griffin

Laboratory Phone(704) 316-1040

Laboratory LocationNovant Health Lakeside Primary Care Afton5325 Vining Street NW, Suite 101, Concord, NC 28027

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 34D1063386

Novant Health Lakeside Primary Care · Concord, NC

Active · expires Mar 7, 2027

CLIA Number34D1063386

Laboratory TypePhysician Office

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorRaymond R. Perez

Laboratory Phone(704) 785-6050

Laboratory LocationNovant Health Lakeside Primary Care7752 Gateway Lane, Suite 100, Concord, NC 28027

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEARING PROFESSIONALS OF AMERICA LLC

Hearing Aid Equipment

5325 VINNING ST NW, SUITE 202
CONCORD, NC 28027

Cabarrus County (888) 612-1267

DR. ALEX V STOCK MD

Family Medicine

5325 VINNING ST NW, SUITE 101
CONCORD, NC 28027

Cabarrus County (704) 316-1040

KEITH EVANS GRIFFIN MD

Internal Medicine

5325 VINNING ST NW, SUITE 101
CONCORD, NC 28027

Cabarrus County (704) 316-1040

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 1093976474. It was assigned to this organization in the NPPES registry on June 19, 2008. The provider is doing business as Novant Health Lakeside Primary Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 5325 Vinning St NW Suite 101, Concord, NC 28027. The listed phone number is (704) 316-1040.

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

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

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 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.