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NOVANT HEALTH MEMORY CARE
NPI 1134656143
Psychiatry & Neurology - Neurology in Winston Salem, NC

Active since May 22, 2017
190 KIMEL PARK DR STE 121, WINSTON SALEM, NC 27103(336) 718-7300(336) 718-7309 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 17, 2021 and 2 more (5 updates tracked since 2017).

About Novant Health Memory Care NPPES

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

NOVANT HEALTH MEMORY CARE (NPI 1134656143) is a healthcare organization registered as a neurology in Winston Salem, North Carolina and active in the NPI registry since May 2017. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1134656143
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address190 KIMEL PARK DR STE 121Winston Salem, NC 27103-6946
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-7585 · Fax (704) 338-6422
Phone(336) 718-7300
Fax(336) 718-7309
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 22, 2017
Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1134656143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
190 KIMEL PARK DR STE 121, Winston Salem, NC 27103
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Other Names 1

Doing Business AsNovant Health Memory Care

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, 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 Memory Care 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 Memory Care, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 616 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
Rachel Baldwin, MD, MPH
Preventive Medicine
NPI 1679614564
190 KIMEL PARK DR STE 125
Winston Salem, NC 27103
(336) 277-6009
✔ PECOS✔ Accepts MedicareSame address
William Beshears, DNP
Nurse Practitioner
NPI 1235781782
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
William Brown, MD
Neurosurgery
NPI 1932141827
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Jamie Buhagiar, FNP
Nurse Practitioner
NPI 1427791979
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 718-7063
✔ PECOS✔ Accepts MedicareSame address
Sarah Bush, NP
Nurse Practitioner
NPI 1760921522
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Kristin Daniel
Nurse Practitioner
NPI 1518588409
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Michelle De Witt, M.D.
Neurology
NPI 1124472170
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Jane Duffey, NP
Nurse Practitioner
NPI 1487681276
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Andrew Evans, M.D.
Neurology
NPI 1063692721
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 765-5553
✔ PECOS✔ Accepts MedicareSame address
John Gibson, M.D.
Neurology
NPI 1326057928
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Kathryn Hartgrove
Nurse Practitioner
NPI 1639642994
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Mark Hnilica, MD
Neurosurgery
NPI 1922091339
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Kuhn, M.D.
Neurology
NPI 1285044347
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Ashleigh Lucas, AGNP-C
Nurse Practitioner
NPI 1790266310
190 KIMEL PARK DR STE 140
Winston Salem, NC 27103
(336) 277-2225
✔ PECOS✔ Accepts MedicareSame address
Tania Mattioli, NP
Nurse Practitioner
NPI 1396184362
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Scott Nimmons, MD
Orthopedic Surgery
NPI 1386090579
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Nancy Rosales, MD
Neurology
NPI 1114246717
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Leroy Seaux, MD
Neurology
NPI 1225096225
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 765-5553
✔ PECOS✔ Accepts MedicareSame address
Lucie Temple, MD
Neurology
NPI 1245298249
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Kevin Shah
Neurosurgery
NPI 1467816983
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
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 Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1134656143. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is doing business as Novant Health Memory Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103. The listed phone number is (336) 718-7300.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. 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, 28 practice at this address and 616 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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 9, 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.