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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: October 18, 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
Phone(704) 973-2106
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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 Bradford Clinic Obstetrics & Gynecology 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 Bradford Clinic Obstetrics & Gynecology, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 889 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
Ellen Carraro, M.D.
General Surgery
NPI 1679700769
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Jennifer Earles, RD
Registered Dietitian or Nutrition Professional
NPI 1326317967
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ Accepts MedicareSame address
Kyla Freeman, MD
Obstetrics/Gynecology
NPI 1225522758
325 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 973-2106
✔ PECOS✔ Accepts MedicareSame address
Lindsey Harward, MD
Obstetrics/Gynecology
NPI 1871906123
325 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 973-2106
✔ PECOS✔ Accepts MedicareSame address
Kelly Homesley, RD
Registered Dietitian or Nutrition Professional
NPI 1053843201
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ Accepts MedicareSame address
Kyle Johnson, MD
Urology
NPI 1538659420
325 HAWTHORNE LN STE 300
Charlotte, NC 28204
(704) 372-5180
✔ PECOS✔ Accepts MedicareSame address
Craig Kolasch, M.D.
General Surgery
NPI 1992871693
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Alexa Martin, DO
Obstetrics/Gynecology
NPI 1407343627
325 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 973-2106
✔ PECOS✔ Accepts MedicareSame address
Shannon Mcneill, N.P.
Nurse Practitioner
NPI 1154705788
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Molly Parker, MD
Obstetrics/Gynecology
NPI 1386269470
325 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 973-2106
✔ PECOS✔ Accepts MedicareSame address
Tawana Sanders, LCSW
Clinical Social Worker
NPI 1003365511
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
David Voellinger, MD
General Surgery
NPI 1710978986
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Adrienne Wiggins-Metcalf, MD
Obstetrics/Gynecology
NPI 1184144321
325 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 973-2106
✔ PECOS✔ Accepts MedicareSame address
Carlyn Zahner, RD, LDN
Registered Dietitian or Nutrition Professional
NPI 1538996277
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
✔ Accepts MedicareSame address
Michelle Curti, NP
Nurse Practitioner
NPI 1144754755
325 HAWTHORNE LN
Charlotte, NC 28204
(704) 316-7760
✔ PECOSSame address
Katherine Price, RDN
Registered Dietitian or Nutrition Professional
NPI 1528994217
325 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 316-7760
Same address
Brian Regan, ANP
Nurse Practitioner
NPI 1043512734
301 HAWTHORNE LN SUITE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Timothy Brand, MD
Cardiac Surgery
NPI 1306108899
301 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Tom Theruvath, M.D.
Thoracic Surgery
NPI 1083875058
301 HAWTHORNE LANE SUITE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Lindsay Appleton, AGACNP-BC
Nurse Practitioner
NPI 1528619327
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-5416
✔ PECOS✔ Accepts Medicare0.2 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 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.

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.

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, 19 practice at this address and 889 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 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 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 June 20, 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.