NOVANT HEALTH PINEVILLE PRIMARY CARE
NPI 1225071293
Family Medicine in Charlotte, NC

Active since June 14, 2006CLIA 34D0933738 · Certificate of Compliance
10514 PARK RD, CHARLOTTE, NC 28210(704) 384-9960(704) 384-9965 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Pineville Primary Care NPPES

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

NOVANT HEALTH PINEVILLE PRIMARY CARE (NPI 1225071293) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 27, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1225071293
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address10514 PARK RDCharlotte, NC 28210-8405
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9960 · Fax (704) 384-9965
Fax(704) 384-9965
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1225071293 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.
10514 PARK RD, Charlotte, NC 28210

Other Names 1

Doing Business AsNovant Health Pineville Primary Care

Other Identifiers 4

Other0209TNC · Bcbs Nc
Medicaid890209TNC
OtherCC5118NC · Railroad Medicare
MedicaidNPA883SC

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

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 Pineville Primary 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 Pineville Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 930 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
Family Practice
NPI 1851584544
10514 PARK RD
Charlotte, NC 28210
(704) 384-9960
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659344398
10514 PARK RD
Charlotte, NC 28210
(704) 384-9960
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528700200
10514 PARK RD
Charlotte, NC 28210
(704) 384-9960
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639305444
10514 PARK RD
Charlotte, NC 28210
(704) 384-9960
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851776850
10620 PARK RD STE 202
Charlotte, NC 28210
(704) 667-0920
✔ PECOS0.1 mi
Gastroenterology
NPI 1669793303
10650 PARK RD STE 480
Charlotte, NC 28210
(704) 667-0520
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1023377918
10650 PARK RD SUITE 420
Charlotte, NC 28210
(704) 302-8700
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1982961926
10650 PARK RD
Charlotte, NC 28210
(704) 667-3960
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1487800611
10410 PARK RD STE 100
Charlotte, NC 28210
(573) 891-9127
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1790657500
9915 PARK CEDAR DR
Charlotte, NC 28210
(866) 389-2727
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1790458271
10320 FELD FARM LN STE 300
Charlotte, NC 28210
(980) 488-9870
✔ PECOS✔ Accepts Medicare0.3 mi
Pulmonary Disease
NPI 1245491083
10320 FELD FARM LN STE 300
Charlotte, NC 28210
(980) 488-9870
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1689047334
7845 LITTLE AVE
Charlotte, NC 28226
(704) 375-0100
✔ PECOS✔ Accepts Medicare1.1 mi
Hospice/Palliative Care
NPI 1871122184
7845 LITTLE AVE
Charlotte, NC 28226
(704) 375-0100
✔ PECOS1.1 mi
Pediatric Medicine
NPI 1770639361
6331 CARMEL RD STE 102
Charlotte, NC 28226
(704) 316-5280
✔ PECOS1.5 mi
Registered Dietitian or Nutrition Professional
NPI 1609346709
6331 CARMEL RD STE 102
Charlotte, NC 28226
(704) 316-5060
1.5 mi
Allergy/Immunology
NPI 1669715413
6331 CARMEL RD STE 102
Charlotte, NC 28226
(704) 316-9022
✔ PECOS1.5 mi
Obstetrics/Gynecology
NPI 1437597176
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare1.9 mi
Orthopedic Surgery
NPI 1194137612
12611 N COMMUNITY HOUSE RD STE 100
Charlotte, NC 28277
(704) 316-3410
✔ PECOS2.1 mi
Rheumatology
NPI 1043577646
12311 COPPER WAY SUITE 100
Charlotte, NC 28277
(704) 316-2916
✔ PECOS✔ Accepts Medicare2.2 mi
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.

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 Compliance 34D0933738

Novant Health Pineville Primary Care · Charlotte, NC
Active · expires Nov 27, 2027
CLIA Number34D0933738
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorRichard Rachima
Laboratory Phone(704) 384-9960
Laboratory LocationNovant Health Pineville Primary Care10514 Park Road, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1225071293. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Novant Health Pineville Primary Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 10514 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 384-9960.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 4 practice at this address and 930 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Compliance (number 34D0933738) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.