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NOVANT HEALTH PELVIC HEALTH CENTER
NPI 1225623010
Urology - Urogynecology and Reconstructive Pelvic Surgery in Greensboro, NC

Active since March 04, 2021CLIA 34D2114526 · Microscopy
3515 W MARKET ST STE 310, GREENSBORO, NC 27403(336) 718-1970(336) 774-8601 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 11, 2023, Aug 16, 2021 and 1 more (4 updates tracked since 2021).

About Novant Health Pelvic Health Center NPPES

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

NOVANT HEALTH PELVIC HEALTH CENTER (NPI 1225623010) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Greensboro, North Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Microscopy certificate valid through June 15, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1225623010
Entity TypeOrganization
Primary Taxonomy2088F0040X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address3515 W MARKET ST STE 310Greensboro, NC 27403-4438
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-1970
Fax(336) 774-8601
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMarch 4, 2021
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1225623010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
3515 W MARKET ST STE 310, Greensboro, NC 27403
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Other Names 1

Doing Business AsNovant Health Pelvic Health Center

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

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) 34D2114526

Novant Health Pelvic Health Center · Winston-Salem, NC
Active · expires Jun 15, 2028
CLIA Number34D2114526
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorSusan H. Hannah
Laboratory Phone(336) 718-1970
Laboratory LocationNovant Health Pelvic Health Center770 Highland Oaks Drive, Suite 100, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
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.

NOVANT HEALTH MEDICAL GROUP, LLC
Surgery
3515 W MARKET ST STE 310
GREENSBORO, NC 27403
Guilford County (704) 316-6493
NOVANT MEDICAL GROUP, INC.
Obstetrics & Gynecology (Gynecologic Oncology)
3515 W MARKET ST STE 310
GREENSBORO, NC 27403
Guilford County (336) 564-4170
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Obesity Medicine)
3515 W MARKET ST STE 310
GREENSBORO, NC 27403
Guilford County (336) 660-5100

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 1225623010. It was assigned to this organization in the NPPES registry on March 4, 2021. The provider is doing business as Novant Health Pelvic Health Center.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 3515 W Market St Ste 310, Greensboro, NC 27403. The listed phone number is (336) 718-1970.

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

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2114526) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.