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NOVANT HEALTH ADULT PRIMARY CARE HARPER HILL
NPI 1104310374
Internal Medicine in Winston Salem, NC

Active since June 20, 2018CLIA 34D2158984 · Waiver
4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 718-4510(336) 718-4519 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Jul 10, 2023, Aug 16, 2021 and 3 more (6 updates tracked since 2018).

About Novant Health Adult Primary Care Harper Hill NPPES

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

NOVANT HEALTH ADULT PRIMARY CARE HARPER HILL (NPI 1104310374) is a healthcare organization registered as an internal medicine in Winston Salem, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1104310374
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address4937 OLD COUNTRY CLUB RDWinston Salem, NC 27104
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-4510
Fax(336) 718-4519
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 20, 2018
Last NPPES UpdateJuly 8, 20246 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1104310374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4937 OLD COUNTRY CLUB RD, Winston Salem, NC 27104
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Other Names 1

Doing Business AsNovant Health Adult Primary Care Harper Hill

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

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 34D2158984

Novant Health Adult Primary Care Harper Hill · Winston-Salem, NC
Active · expires Dec 10, 2026
CLIA Number34D2158984
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorJohn P. Card
Laboratory Phone(336) 718-4510
Laboratory LocationNovant Health Adult Primary Care Harper Hill4937 Old Countyry Club Road, Winston-Salem, NC 27104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MIKAYLA HOPWOOD FNP-BC
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
RONDA RENEE WRIGHT FNP-C
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
AYAKO NITANI ALLEN FNP
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
DR. NEIL ROBERT SCHWARTZMAN MD
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
DR. SAKEITHA L'TIA CROWDER MD
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
ASHTON MITCHELL WALKER PA
Physician Assistant
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
THIERRY PERARD PA-C
Student in an Organized Health Care Education/Training Program
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510
JAMIE LYNN RUSSELL NURSE PRACTITIONER
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 718-4510

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 1104310374. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider is doing business as Novant Health Adult Primary Care Harper Hill.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 4937 Old Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 718-4510.

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

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

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2158984) is associated with this NPI, valid through December 10, 2026. 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 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 8, 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.