NOVANT HEALTH BRADFORD CLINIC OBSTETRICS & GYNECOLOGY
NPI 1225094204
Obstetrics & Gynecology in Charlotte, NC

Active since April 26, 2006CLIA 34D2315915 · Microscopy
325 HAWTHORNE LN, SUITE 200, CHARLOTTE, NC 28204(704) 973-2106(704) 973-2395 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 and 2 more (5 updates tracked since 2016).

About Novant Health Bradford Clinic Obstetrics & Gynecology NPPES

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

NOVANT HEALTH BRADFORD CLINIC OBSTETRICS & GYNECOLOGY (NPI 1225094204) is a healthcare organization registered as an obstetrics & gynecology in Charlotte, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through December 19, 2026 and lists Leea Jeanine Walton, Edi Manager, as its authorized official.

NPPES Registry Identity

NPI1225094204
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address325 HAWTHORNE LN, SUITE 200Charlotte, NC 28204-2433
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 973-2106 · Fax (704) 973-2395
Fax(704) 973-2395
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEdi Manager · (704) 316-6081
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1225094204 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.

325 HAWTHORNE LN, Charlotte, NC 28204

Other Names 1

Doing Business AsNovant Health Bradford Clinic Obstetrics & Gynecology

Other Identifiers 3

Medicaid1225094204NC
Other0270TNC · Bcbs-nc
Medicaid5901191NC

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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2315915

Novant Health Bradford Clinic Obgyn - Elizabeth · Charlotte, NC
Active · expires Dec 19, 2026
CLIA Number34D2315915
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorAlexa K. Martin
Laboratory Phone(704) 973-2196
Laboratory LocationNovant Health Bradford Clinic Obgyn - Elizabeth325 Hawthorne Ln, Suite 200, Charlotte, NC 28204
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
325 HAWTHORNE LN
CHARLOTTE, NC 28204
Clinical Medical Laboratory
325 HAWTHORNE LN, SUITE 200
CHARLOTTE, NC 28204
Advanced Practice Midwife
325 HAWTHORNE LN
CHARLOTTE, NC 28204

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 1225094204. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Novant Health Bradford Clinic Obstetrics & Gynecology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 325 Hawthorne Ln Suite 200, Charlotte, NC 28204. The listed phone number is (704) 973-2106.

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

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

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2315915) is associated with this NPI, valid through December 19, 2026. 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 June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.