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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: August 09, 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

Other Providers at the Same Location NPPES 4

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

JENNIFER HARTSELL ALDERMAN PA-C
Physician Assistant
111 S SALISBURY GQ AVE
SALISBURY, NC 28146
Rowan County (704) 279-1679
MRS. JESSICA SMITH GOODMAN FNP-C
Nurse Practitioner
111 S SALISBURY GQ AVE
GRANITE QUARRY, NC 28146
Rowan County (704) 279-1679
CARLY ANN WALDEN PA-C
Physician Assistant (Medical)
111 S SALISBURY GQ AVE
SALISBURY, NC 28146
Rowan County (704) 279-1679
GQ INTERNAL MEDICINE AND PEDIATRICS PLLC
Internal Medicine
111 S SALISBURY GQ AVE
SALISBURY, NC 28146
Rowan County (704) 798-3528

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.

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.