NOVANT HEALTH WALLBURG FAMILY MEDICINE
NPI 1225475023
Family Medicine in Winston Salem, NC

Active since June 03, 2013CLIA 34D2062115 · Waiver
10479 N NC HIGHWAY 109, 107A, WINSTON SALEM, NC 27107(336) 769-0246(336) 769-9366 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Wallburg Family Medicine NPPES

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

NOVANT HEALTH WALLBURG FAMILY MEDICINE (NPI 1225475023) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1225475023
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address10479 N NC HIGHWAY 109, 107AWinston Salem, NC 27107-9643
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Fax(336) 769-9366
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 3, 2013
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1225475023 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.
10479 N NC HIGHWAY 109, Winston Salem, NC 27107

Other Names 1

Doing Business AsNovant Health Wallburg Family Medicine

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 Wallburg Family Medicine 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 Wallburg Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 631 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 1518224617
10479 N NC HIGHWAY 109 STE 107A
Winston Salem, NC 27107
(336) 769-0246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477204659
1696 RIDGESTONE LN
Kernersville, NC 27284
(336) 970-1068
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1518580992
4115 CRESTWOOD CIR
Winston Salem, NC 27107
(850) 699-3842
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1316483738
656 E MONMOUTH ST
Winston Salem, NC 27107
(336) 718-4380
✔ PECOS✔ Accepts Medicare4.6 mi
Pediatric Medicine
NPI 1083714364
648 EAST MONMOUTH STREET
Winston Salem, NC 27107
(336) 718-4630
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1407011398
648 EAST MONMOUTH STREET
Winston Salem, NC 27107
(336) 718-4360
✔ PECOS4.6 mi
Pediatric Medicine
NPI 1518157247
648 EAST MONMOUTH STREET
Winston Salem, NC 27107
(336) 718-4360
✔ PECOS4.6 mi
Pediatric Medicine
NPI 1225217094
1471 JAG BRANCH BLVD UNIT 101
Kernersville, NC 27284
(336) 515-7420
✔ PECOS4.9 mi
Nurse Practitioner
NPI 1508321043
1471 JAG BRANCH BLVD STE 103
Kernersville, NC 27284
(336) 515-7410
✔ PECOS✔ Accepts Medicare4.9 mi
Family Practice
NPI 1215006192
1471 JAG BRANCH BLVD UNIT 103
Kernersville, NC 27284
(336) 515-7410
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1679532212
1471 JAG BRANCH BLVD UNIT 101
Kernersville, NC 27284
(336) 515-7420
✔ PECOS4.9 mi
Internal Medicine
NPI 1710908546
5038 PETERS CREEK PKWY STE 150
Winston Salem, NC 27127
(336) 277-2710
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1821605783
5038 PETERS CREEK PKWY STE 150
Winston Salem, NC 27127
(336) 277-2710
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1295701498
5010 PETERS CREEK PKWY
Winston Salem, NC 27127
(336) 788-4664
✔ PECOS✔ Accepts Medicare5.9 mi
Neurology
NPI 1336107333
200 E 10TH ST
Winston Salem, NC 27101
(336) 201-5600
✔ PECOS✔ Accepts Medicare7.1 mi
Pediatric Medicine
NPI 1487639464
MEDICAL CENTER BLVD
Winston-salem, NC 27157
(336) 716-2255
✔ PECOS7.4 mi
Hospitalist
NPI 1033477781
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2255
✔ PECOS✔ Accepts Medicare7.4 mi
General Surgery
NPI 1164742748
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-3813
✔ PECOS✔ Accepts Medicare7.4 mi
Hematology/Oncology
NPI 1841829066
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-5440
✔ PECOS✔ Accepts Medicare7.5 mi
Psychiatry
NPI 1912340324
MEDICAL CENETER BLVD
Winston Salem, NC 27157
(336) 716-3601
✔ PECOS✔ Accepts Medicare7.5 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 Waiver 34D2062115

Novant Health Wallburg Family Medicine · Winston Salem, NC
Active · expires Apr 22, 2027
CLIA Number34D2062115
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorDr. Daniel L. Myers
Laboratory Phone(336) 769-0246
Laboratory LocationNovant Health Wallburg Family Medicine10479 North Nc Highway 109, Suite 107A, Winston Salem, NC 27107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 1225475023. It was assigned to this organization in the NPPES registry on June 3, 2013. The provider is doing business as Novant Health Wallburg Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 10479 N Nc Highway 109 107A, Winston Salem, NC 27107. The listed phone number is (336) 769-0246.

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, 1 practice at this address and 631 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 Waiver (number 34D2062115) is associated with this NPI, valid through April 22, 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 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.