NOVANT HEALTH PRIMARY CARE SALISBURY
NPI 1134586506
Family Medicine in Salisbury, NC

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

The NPI number for Novant Health Medical Group, LLC is 1134586506. It was assigned to this organization in the NPPES registry on January 15, 2016. The provider is doing business as Novant Health Primary Care Salisbury.

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 January 15, 2016CLIA 34D2112103 · Waiver

1904 JAKE ALEXANDER BLVD W STE 301, SALISBURY, NC 28147(704) 797-2442(704) 797-2443 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Mar 21, 2023 and 4 more (7 updates tracked since 2016).

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About Novant Health Primary Care Salisbury NPPES

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

NOVANT HEALTH PRIMARY CARE SALISBURY (NPI 1134586506) is a healthcare organization registered as a family medicine in Salisbury, North Carolina and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1134586506

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address1904 JAKE ALEXANDER BLVD W STE 301Salisbury, NC 28147-1177

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 797-2442

Phone(704) 797-2442

Fax(704) 797-2443

Organization SubpartNo

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

Enumeration DateJanuary 15, 2016

Last NPPES UpdateJuly 9, 20247 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1134586506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1904 JAKE ALEXANDER BLVD W STE 301, Salisbury, NC 28147

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Other Names 1

Doing Business AsNovant Health Primary Care Salisbury

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 34D2112103

Novant Health Primary Care Salisbury · Salisbury, NC

Active · expires Apr 5, 2028

CLIA Number34D2112103

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorAcquawon Stallworth

Laboratory Phone(704) 797-2442

Laboratory LocationNovant Health Primary Care Salisbury1904 Jake Alexander Boulevard West, Suite 301, Salisbury, NC 28147

CLIA data matches this NPI record on: Address 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.

NOVANT MEDICAL GROUP, INC.

Emergency Medicine