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NOVANT HEALTH GRANITE QUARRY INTERNAL MEDICINE & PEDIATRICS
NPI 1104152024
Family Medicine in Salisbury, NC

Active since October 28, 2009
111 S SALISBURY GQ AVE, SALISBURY, NC 28146(704) 279-1679(704) 279-1677 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Aug 16, 2021 (2 updates tracked since 2021).

About Novant Health Granite Quarry Internal Medicine & Pediatrics NPPES

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

NOVANT HEALTH GRANITE QUARRY INTERNAL MEDICINE & PEDIATRICS (NPI 1104152024) is a healthcare organization registered as a family medicine in Salisbury, North Carolina and active in the NPI registry since October 2009. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1104152024
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT MEDICAL GROUP INC
Location Address111 S SALISBURY GQ AVESalisbury, NC 28146-8150
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 279-1679 · Fax (704) 279-1677
Phone(704) 279-1679
Fax(704) 279-1677
Organization SubpartYesParent: Novant Medical Group, Inc
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 28, 2009
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1104152024 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 ListedPediatricsTaxonomy 208000000X
111 S SALISBURY GQ AVE, Salisbury, NC 28146
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Other Names 1

Doing Business AsNovant Health Granite Quarry Internal Medicine & Pediatrics

Other Identifiers 1

Medicaid5913612NC

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 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 Granite Quarry Internal Medicine & Pediatrics 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 Granite Quarry Internal Medicine & Pediatrics, which bills Medicare for the services they deliver. Of these, 103 practice 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
Sylivia Dickerson, F.N.P.
Nurse Practitioner
NPI 1144533324
825 W HENDERSON ST
Salisbury, NC 28144
(704) 637-1123
✔ PECOS✔ Accepts Medicare1.0 mi
Heather Vanscoter, NP
Nurse Practitioner
NPI 1629752860
201 WOODSON ST STE A
Salisbury, NC 28144
(704) 639-0097
✔ PECOS✔ Accepts Medicare1.2 mi
Desiree Johnson, MD
Family Practice
NPI 1013903202
201 WOODSON ST STE A
Salisbury, NC 28144
(704) 639-0097
✔ PECOS✔ Accepts Medicare1.2 mi
Nestor Cruz, MD
Vascular Surgery
NPI 1518998525
401 MOCKSVILLE AVE FL 2
Salisbury, NC 28144
(704) 633-9620
✔ PECOS✔ Accepts Medicare1.3 mi
Apur Kamdar, M.D.
Interventional Cardiology
NPI 1902844863
401 MOCKSVILLE AVE FL 2
Salisbury, NC 28144
(704) 633-9620
✔ PECOS✔ Accepts Medicare1.3 mi
Dennis Wilson, MD
Cardiovascular Disease (Cardiology)
NPI 1598765562
401 MOCKSVILLE AVE FL 2
Salisbury, NC 28144
(704) 633-9620
✔ PECOS✔ Accepts Medicare1.3 mi
David Bearss, M.D.
Internal Medicine
NPI 1063408235
825 W HENDERSON ST
Salisbury, NC 28144
(704) 637-1123
✔ PECOS✔ Accepts Medicare1.4 mi
Michael Stadler, M.D.
Obstetrics/Gynecology
NPI 1184849416
911 W HENDERSON ST SUITE 300
Salisbury, NC 28144
(704) 636-9270
✔ PECOS✔ Accepts Medicare1.4 mi
Paul Lichstein, MSC, MD
Orthopedic Surgery
NPI 1013203470
810 MITCHELL AVE
Salisbury, NC 28144
(704) 216-5633
✔ PECOS✔ Accepts Medicare1.4 mi
Thomas Ginn, MD
Hand Surgery
NPI 1215954052
810 MITCHELL AVE
Salisbury, NC 28144
(704) 216-5633
✔ PECOS✔ Accepts Medicare1.4 mi
Cullan Reilly, D.P.M.
Podiatry
NPI 1043581812
810 MITCHELL AVE
Salisbury, NC 28144
(704) 216-5633
✔ PECOS✔ Accepts Medicare1.4 mi
Jessica Rivera, PT
Physical Therapist in Private Practice
NPI 1891937504
810 MITCHELL AVE
Salisbury, NC 28144
(704) 216-5633
1.4 mi
Christopher Cappello, MD
Physical Medicine and Rehabilitation
NPI 1457937864
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 210-5000
✔ PECOS✔ Accepts Medicare1.5 mi
Michael Chambers, MD
Hospitalist
NPI 1881251726
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 210-5260
✔ PECOS✔ Accepts Medicare1.5 mi
Isabelle Eustice, MD
Psychiatry
NPI 1821021080
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 210-5061
✔ PECOS✔ Accepts Medicare1.5 mi
Morgan Ackerson, LCMHCA, NCC, NA
Mental Health Counselor
NPI 1043070832
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 210-5061
✔ PECOS✔ Accepts Medicare1.5 mi
Maegan Riggin, MD
Hospice/Palliative Care
NPI 1932763695
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 870-2654
✔ PECOS✔ Accepts Medicare1.5 mi
Abayomi Agbebi, M.D.
Infectious Disease
NPI 1639387004
911 W HENDERSON ST STE 120
Salisbury, NC 28144
(704) 638-0336
✔ PECOS✔ Accepts Medicare1.5 mi
Vedra Augenstein, MD
General Surgery
NPI 1962549527
911 W HENDERSON ST STE 410
Salisbury, NC 28144
(980) 488-8905
✔ PECOS✔ Accepts Medicare1.5 mi
Peter Domenig, DO
Urology
NPI 1134618945
911 W HENDERSON ST STE 110
Salisbury, NC 28144
(704) 633-9441
✔ PECOS✔ Accepts Medicare1.5 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.

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 Medical Group Inc's NPI number?

The NPI number for Novant Medical Group Inc is 1104152024. It was assigned to this organization in the NPPES registry on October 28, 2009. The provider is doing business as Novant Health Granite Quarry Internal Medicine & Pediatrics.

Where is Novant Medical Group Inc located?

Novant Medical Group Inc is located at 111 S Salisbury Gq Ave, Salisbury, NC 28146. The listed phone number is (704) 279-1679.

What is Novant Medical Group Inc's specialty?

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

Is Novant Medical Group Inc enrolled in Medicare?

Yes. Novant Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Medical Group Inc. 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, 103 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Medical Group Inc accept?

Health plans from Cigna Healthcare list Novant Medical Group Inc 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 Medical Group Inc was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.