NOVANT HEALTH MEDICAL GROUP LLC
NPI 1205884970
Obstetrics & Gynecology in Bolivia, NC

Active since May 05, 2006
584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422(910) 721-4050(910) 721-4051 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 12, 2025, Jun 20, 2024, Jul 11, 2023 and 4 more (7 updates tracked since 2019).

About Novant Health Medical Group Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP LLC (NPI 1205884970), doing business as Novant Health Brunswick Ob/gyn & Midwifery, is a healthcare organization registered as an obstetrics & gynecology in Bolivia, North Carolina and active in the NPI registry since May 2006. The organization maintains 3 additional practice locations and lists Leea Jeanine Walton, Edi Manager, as its authorized official.

NPPES Registry Identity

NPI1205884970
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP LLC
Location Address584 HOSPITAL DR NE UNIT BBolivia, NC 28422-0020
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4050
Fax(910) 721-4051
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEdi Manager · (704) 316-6081
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 12, 20257 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1205884970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
584 HOSPITAL DR NE UNIT B, Bolivia, NC 28422

Other Names 2

Doing Business AsNovant Health Brunswick Ob/gyn & Midwifery
Doing Business AsNovant Health Ob/gyn

Secondary Practice Locations 3

Location 11456 N Howe St Ste 201Southport, NC 28461-2674 · Phone (910) 721-4050 · Fax (910) 721-4051
Location 2509 Olde Waterford Way Ste 200Leland, NC 28451-4126 · Phone (910) 721-4050 · Fax (910) 721-4051
Location 375 Emerson Bay Rd Ste 104Carolina Shores, NC 28467-2498 · Phone (910) 721-4050 · Fax (910) 721-4051

Other Identifiers 1

Medicaid5903335NC

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

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Advanced Practice Midwife
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Advanced Practice Midwife
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Advanced Practice Midwife
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Obstetrics & Gynecology (Maternal & Fetal Medicine)
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Advanced Practice Midwife
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Obstetrics & Gynecology
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422
Obstetrics & Gynecology
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422

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 1205884970. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Novant Health Brunswick Ob/Gyn & Midwifery and Novant Health OB/GYN.

Where is Novant Health Medical Group LLC located?

Novant Health Medical Group LLC is located at 584 Hospital Dr NE Unit B, Bolivia, NC 28422. The listed phone number is (910) 721-4050.

What is Novant Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Novant Health Medical Group LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and 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 March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.