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NOVANT HEALTH FORSYTH PEDIATRICS
NPI 1225707771
Pediatrics in Kernersville, NC

Active since September 08, 2021CLIA 34D0872587 · Certificate of Compliance
240 BROAD ST, KERNERSVILLE, NC 27284(336) 993-8333(336) 993-5144 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 10, 2023, Sep 8, 2021 (3 updates tracked since 2021).

About Novant Health Forsyth Pediatrics NPPES

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

NOVANT HEALTH FORSYTH PEDIATRICS (NPI 1225707771) is a healthcare organization registered as a pediatrics in Kernersville, North Carolina and active in the NPI registry since September 2021. The organization holds a CLIA Certificate of Compliance certificate valid through December 25, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1225707771
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address240 BROAD STKernersville, NC 27284-2930
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 993-8333
Fax(336) 993-5144
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1225707771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
240 BROAD ST, Kernersville, NC 27284
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Other Names 1

Doing Business AsNovant Health Forsyth Pediatrics

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 34D0872587

Novant Health Forsyth Pediatrics Kernersville · Kernersville, NC
Active · expires Dec 25, 2027
CLIA Number34D0872587
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorG Kirk Walker
Laboratory Phone(336) 993-8333
Laboratory LocationNovant Health Forsyth Pediatrics Kernersville240 Broad St, Kernersville, NC 27284
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 14

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

MARTHA MALLARY CLAY PA
Physician Assistant
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
MRS. CAROLINE CLOUD JONES PA
Physician Assistant
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
GEORGE KIRK WALKER MD
Pediatrics
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
SUSAN HUGGINS GRAINGER PNP
Nurse Practitioner
240 BROAD ST, DBA FORSYTH PEDIATRIC ASSOC. - K'VILLE
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
HEATHER LEIGH MCDANIEL KOONTS C-PNP
Nurse Practitioner
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
CATHY MARIE SOLDATO-COUTURE MD
Pediatrics
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
VANESSA KRISTEN AJIZIAN MD
Pediatrics
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333
BILL ALLEN RICKETTS PA
Physician Assistant
240 BROAD ST
KERNERSVILLE, NC 27284
Forsyth County (336) 993-8333

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 1225707771. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Novant Health Forsyth Pediatrics.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 240 Broad St, Kernersville, NC 27284. The listed phone number is (336) 993-8333.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Compliance (number 34D0872587) is associated with this NPI, valid through December 25, 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 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.