NOVANT HEALTH PREP II LLC
NPI 1164228599
Surgery in Fort Mill, SC

Q: What is Novant Health Prep II LLC's NPI number?

The NPI number for Novant Health Prep II LLC is 1164228599. It was assigned to this organization in the NPPES registry on February 25, 2025. The provider is doing business as Surgical Specialists of Charlotte, a Novant Health network provider - Fort Mill.

Q: What is Novant Health Prep II LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since February 25, 2025

1700 1ST BAXTER XING STE 102, FORT MILL, SC 29708(803) 324-5256(704) 364-8105 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2025, Feb 25, 2025 (2 updates tracked since 2025).

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About Novant Health Prep Ii Llc NPPES

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

NOVANT HEALTH PREP II LLC (NPI 1164228599), doing business as Surgical Specialists Of Charlotte, A Novant Health Network Provider - Fort Mill, is a healthcare organization registered as a surgery in Fort Mill, South Carolina and active in the NPI registry since February 2025. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1164228599

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNOVANT HEALTH PREP II LLC

Location Address1700 1ST BAXTER XING STE 102Fort Mill, SC 29708-8950

Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614

Phone(803) 324-5256

Fax(704) 364-8105

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (336) 515-7085

Enumeration DateFebruary 25, 2025

Last NPPES UpdateApril 21, 20252 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1164228599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

1700 1ST BAXTER XING STE 102, Fort Mill, SC 29708

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Other Names 1

Doing Business AsSurgical Specialists Of Charlotte, A Novant Health Network Provider - Fort Mill

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Prep Ii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 18 clinicians reassign Medicare billing to Novant Health Prep II LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery16

Nurse Practitioner2

Clinicians, nearest first (18)

Manthan Makadia, M.D.

General Surgery

NPI 1396005773

1721 EBENEZER RD STE 175
Rock Hill, SC 29732

(804) 324-5256

✔ PECOS✔ Accepts Medicare6.7 mi

Vickie Blackburn, NP

Nurse Practitioner

NPI 1487656708

1721 EBENEZER RD STE 175
Rock Hill, SC 29732

(803) 324-5256

✔ PECOS✔ Accepts Medicare6.7 mi

Shamly Dhiman, M.D.

General Surgery

NPI 1245449354

1721 EBENEZER RD STE 175
Rock Hill, SC 29732

(803) 324-5256

✔ PECOS✔ Accepts Medicare6.7 mi

Tammy Faw-Severeide, FNP-C

Nurse Practitioner

NPI 1326414137

10512 PARK RD STE 101
Charlotte, NC 28210

(704) 542-3631

✔ PECOS✔ Accepts Medicare7.1 mi

Louis Zbinden, M.D.

General Surgery

NPI 1518958826

10512 PARK RD STE 101
Charlotte, NC 28210

(704) 542-3631

✔ PECOS✔ Accepts Medicare7.1 mi

Terri Martin, MD

General Surgery

NPI 1932215423

1918 RANDOLPH RD STE 300
Charlotte, NC 28207

(704) 333-0741

✔ PECOS✔ Accepts Medicare15 mi

Natalie Merchant, MD

General Surgery

NPI 1396302816

1918 RANDOLPH RD STE 300
Charlotte, NC 28207

(704) 333-0741

✔ PECOS✔ Accepts Medicare15 mi

Natalie Nowak, D.O.

General Surgery

NPI 1275893927

1918 RANDOLPH RD STE 300
Charlotte, NC 28207

(704) 333-0741

✔ PECOS✔ Accepts Medicare15 mi

William Banish, MD

General Surgery

NPI 1760468110

1450 MATTHEWS TOWNSHIP PKWY STE 250
Matthews, NC 28105

(704) 841-1444

✔ PECOS✔ Accepts Medicare16 mi

Nina Hall, MD

General Surgery

NPI 1689665275

1450 MATTHEWS TOWNSHIP PKWY STE 250
Matthews, NC 28105

(704) 841-1444

✔ PECOS✔ Accepts Medicare16 mi

Samik Patel, M.D.

General Surgery

NPI 1174054696

1450 MATTHEWS TOWNSHIP PKWY STE 250
Matthews, NC 28105

(704) 841-1444

✔ PECOS✔ Accepts Medicare16 mi

Heidi Weilbach, M.D.

General Surgery

NPI 1568453884

1450 MATTHEWS TOWNSHIP PKWY STE 250
Matthews, NC 28105

(704) 841-1444

✔ PECOS✔ Accepts Medicare16 mi

Nicholas Langan, M.D.

General Surgery

NPI 1245525542

421 W MEETING ST
Lancaster, SC 29720

(803) 285-8700

✔ PECOS✔ Accepts Medicare24 mi

Aaron Bergsman, M.D.

General Surgery

NPI 1720131048

10030 GILEAD RD STE 245
Huntersville, NC 28078

(704) 895-9390

✔ PECOS✔ Accepts Medicare27 mi

Rohit Bhasin, M.D.

General Surgery

NPI 1912983693

10030 GILEAD RD STE 245
Huntersville, NC 28078

(704) 895-9390

✔ PECOS✔ Accepts Medicare27 mi

Edward Panzeter, MD

General Surgery

NPI 1750333779

10030 GILEAD RD STE 245
Huntersville, NC 28078

(704) 895-9390

✔ PECOS✔ Accepts Medicare27 mi

Krista Stephenson

General Surgery

NPI 1972034387

10030 GILEAD RD STE 245
Huntersville, NC 28078

(704) 895-9390

✔ PECOS✔ Accepts Medicare27 mi

Earl Norman, M.D.

General Surgery

NPI 1962471185

1000 OAKLAND DR
Kalamazoo, MI 49008

(269) 337-6230

✔ PECOS✔ Accepts Medicare559 mi

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 Prep II LLC's NPI number?

The NPI number for Novant Health Prep II LLC is 1164228599. It was assigned to this organization in the NPPES registry on February 25, 2025. The provider is doing business as Surgical Specialists of Charlotte, a Novant Health network provider - Fort Mill.

Where is Novant Health Prep II LLC located?

Novant Health Prep II LLC is located at 1700 1st Baxter Xing Ste 102, Fort Mill, SC 29708. The listed phone number is (803) 324-5256.

What is Novant Health Prep II LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Novant Health Prep II LLC enrolled in Medicare?

Yes. Novant Health Prep II LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Prep II LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to Novant Health Prep II 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 General Surgery (16) and Nurse Practitioner (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Prep II LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Novant Health Prep II 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 Prep II LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.