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NOVANT HEALTH PRIMARY CARE PARTNERS
NPI 1235458985
Family Medicine in Wake Forest, NC

Active since May 20, 2010CLIA 34D2010275 · Waiver
10500 LIGON MILL RD, SUITE 113, WAKE FOREST, NC 27587(919) 570-5705(919) 570-5710 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Primary Care Partners NPPES

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

NOVANT HEALTH PRIMARY CARE PARTNERS (NPI 1235458985) is a healthcare organization registered as a family medicine in Wake Forest, North Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1235458985
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address10500 LIGON MILL RD, SUITE 113Wake Forest, NC 27587-4576
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (919) 570-5705 · Fax (919) 570-5710
Phone(919) 570-5705
Fax(919) 570-5710
Organization SubpartYesParent: Novant Medical Group, Inc
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 20, 2010
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1235458985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2005-01578
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.
10500 LIGON MILL RD, Wake Forest, NC 27587
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Other Names 1

Doing Business AsNovant Health Primary Care Partners

Other Identifiers 1

Medicaid5914970NC

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 Primary Care Partners 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 Primary Care Partners, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 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
Gina Micchia, DO
Family Practice
NPI 1548234347
10500 LIGON MILL RD SUITE 113
Wake Forest, NC 27587
(919) 570-5705
✔ PECOS✔ Accepts MedicareSame address
Joseph Micchia, DO
Family Practice
NPI 1699749408
10500 LIGON MILL RD SUITE 113
Wake Forest, NC 27587
(919) 570-5705
✔ PECOS✔ Accepts MedicareSame address
William Clark, MD
Family Practice
NPI 1528047503
2115 S MAIN ST
Wake Forest, NC 27587
(919) 570-2000
✔ PECOS✔ Accepts Medicare0.3 mi
Meghan Gamelin, M.D.
Family Practice
NPI 1902289499
3213 ROGERS RD
Wake Forest, NC 27587
(919) 562-2288
✔ PECOS✔ Accepts Medicare0.8 mi
Scott Konopka, M.D.
Family Practice
NPI 1669409686
3213 ROGERS RD
Wake Forest, NC 27587
(919) 562-2288
✔ PECOS✔ Accepts Medicare0.8 mi
Thomas Weber, MD
Family Practice
NPI 1487628723
3213 ROGERS RD
Wake Forest, NC 27587
(919) 562-2288
✔ PECOS✔ Accepts Medicare0.8 mi
Sherif Naguib, MD
Hospitalist
NPI 1316905151
6217 TIFFIELD WAY
Wake Forest, NC 27587
(919) 824-0589
✔ PECOS✔ Accepts Medicare3.2 mi
Joanna Wiseman, APRN, PMHNP-BC
Nurse Practitioner
NPI 1124646237
8601 SIX FORKS RD STE 400
Raleigh, NC 27615
(646) 453-6777
✔ PECOS✔ Accepts Medicare7.7 mi
Rayleen Jones
Nurse Practitioner
NPI 1407276751
3400 WAKE FOREST RD
Raleigh, NC 27609
(919) 954-3650
✔ PECOS✔ Accepts Medicare9.8 mi
Egya Chinbuah, MD
Hospitalist
NPI 1689989204
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare12 mi
Mwiza Gausi, M.D.
Internal Medicine
NPI 1750688651
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare12 mi
Mark Cheltenham, M.D.
Psychiatry
NPI 1114027588
3019 FALSTAFF RD
Raleigh, NC 27610
(919) 761-8693
✔ PECOS✔ Accepts Medicare12 mi
Carly Donahue, DO
Family Practice
NPI 1790121796
3237 BLUE RIDGE RD
Raleigh, NC 27612
(919) 781-7500
✔ PECOS✔ Accepts Medicare13 mi
Phillip Marks, M.D.
Urology
NPI 1720173420
4420 LAKE BOONE TRL STE 203
Raleigh, NC 27607
(919) 784-2930
✔ PECOS✔ Accepts Medicare13 mi
Trevor Doolittle, PA-C
Physician Assistant
NPI 1184127565
3001 EDWARDS MILL RD
Raleigh, NC 27612
(919) 781-5600
✔ PECOS13 mi
Dwanna Dameus, LCSW
Clinical Social Worker
NPI 1942969936
1250 SE MAYNARD RD STE 204
Cary, NC 27511
(919) 948-7718
✔ PECOS✔ Accepts Medicare17 mi
Casey Cooper, DO
Obstetrics/Gynecology
NPI 1407348659
550 NEW WAVERLY PL STE 200
Cary, NC 27518
(919) 467-5941
✔ PECOS✔ Accepts Medicare20 mi
Jeffrey Kingsley, DO
Cardiovascular Disease (Cardiology)
NPI 1982264453
210 ASHVILLE AVE STE 105
Cary, NC 27518
(919) 350-2580
✔ PECOS✔ Accepts Medicare20 mi
Christopher Jordan, M.D.
Gastroenterology
NPI 1194791988
649 GUY RD STE 200
Clayton, NC 27520
(919) 938-4044
✔ PECOS✔ Accepts Medicare21 mi
Nancie Maciver, MD, PHD
Pediatric Medicine
NPI 1528199734
2100 ERWIN RD
Durham, NC 27710
(919) 684-8111
✔ PECOS23 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 34D2010275

Novant Health Primary Care Partners · Wake Forest, NC
Active · expires Jul 22, 2028
CLIA Number34D2010275
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorJoseph Micchia
Laboratory Phone(919) 570-5705
Laboratory LocationNovant Health Primary Care Partners10500 Ligon Mill Road Ste 113, Wake Forest, NC 27587
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 1235458985. It was assigned to this organization in the NPPES registry on May 20, 2010. The provider is doing business as Novant Health Primary Care Partners.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 10500 Ligon Mill Rd Suite 113, Wake Forest, NC 27587. The listed phone number is (919) 570-5705.

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, 2 practice at this address and 9 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 34D2010275) is associated with this NPI, valid through July 22, 2028. 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 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.