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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: July 26, 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
Phone(704) 384-9960
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
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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

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 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.

Other Providers at the Same Location NPPES 8

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

CHARLES AARON PA
Physician Assistant
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
CHANCHAL R SADDY MD
Internal Medicine
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
DR. SIMARPREET KAUR VIDWAN MD
Family Medicine
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
DARBY WOODARD TODD PA
Physician Assistant
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
DR. SONIA DUGGAL MD
Family Medicine
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
AMANDA LEIGH CHRISTOPHER THOMAS PA-C
Physician Assistant
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
RICHARD RON RACHIMA M.D.
Family Medicine
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960
AALIA KHAN SOHERWARDY MD
Family Medicine
10514 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-9960

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.

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 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 with the weekly NPPES data releases published by CMS.