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NOVANT HEALTH OCCUPATIONAL MEDICINE
NPI 1104396761
Preventive Medicine - Occupational Medicine in Matthews, NC

Active since November 27, 2018CLIA 34D2159555 · Waiver
9600 E. INDEPENDENCE BLVD, MATTHEWS, NC 28105(704) 384-8441(704) 384-8442 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Jul 11, 2023, Aug 18, 2021 and 2 more (5 updates tracked since 2018).

About Novant Health Occupational Medicine NPPES

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

NOVANT HEALTH OCCUPATIONAL MEDICINE (NPI 1104396761) is a healthcare organization registered as an occupational medicine in Matthews, North Carolina and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1104396761
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address9600 E. INDEPENDENCE BLVDMatthews, NC 28105-4628
Mailing AddressPo Box 71052Charlotte, NC 28272-1052
Phone(704) 384-8441
Fax(704) 384-8442
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 27, 2018
Last NPPES UpdateJuly 24, 20245 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1104396761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
9600 E. INDEPENDENCE BLVD, Matthews, NC 28105
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Other Names 1

Doing Business AsNovant Health Occupational Medicine

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

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 34D2159555

Novant Health Occupational Medicine Matthews · Matthews, NC
Active · expires Dec 19, 2026
CLIA Number34D2159555
Laboratory TypeOccupational Medicine
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorMichelle Balmaceda
Laboratory Phone(704) 316-2088
Laboratory LocationNovant Health Occupational Medicine Matthews9600 East Independence Boulevard, Matthews, NC 28105
CLIA data matches this NPI record on: Address Name
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 1104396761. It was assigned to this organization in the NPPES registry on November 27, 2018. The provider is doing business as Novant Health Occupational Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 9600 E. Independence Blvd, Matthews, NC 28105. The listed phone number is (704) 384-8441.

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

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

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

Yes. A Certificate of Waiver (number 34D2159555) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on July 24, 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.