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

Active since May 20, 2010
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: August 09, 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 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.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 Waiver 34D2010275

Novant Health Primary Care Partners · Wake Forest, NC
Expired · Jul 22, 2026
CLIA Number34D2010275
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2024
Certificate Expiration DateJuly 22, 2026
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.

Other Providers at the Same Location NPPES 4

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

MRS. JENNIFER HOFFMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10500 LIGON MILL RD
WAKE FOREST, NC 27587
Wake County (919) 276-4005
GINA LOUISE MICCHIA DO
Family Medicine
10500 LIGON MILL RD, SUITE 113
WAKE FOREST, NC 27587
Wake County (919) 570-5705
JOSEPH MATTHEW MICCHIA JR. DO
Family Medicine
10500 LIGON MILL RD, SUITE 113
WAKE FOREST, NC 27587
Wake County (919) 570-5705
NOVANT MEDICAL GROUP, INC
Surgery
10500 LIGON MILL RD, SUITE 113
WAKE FOREST, NC 27587
Wake County (919) 496-1050

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.

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.