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NOVANT HEALTH MOUNTAINVIEW MEDICAL EXTENDED CARE
NPI 1245797745
Family Medicine in King, NC

Active since February 21, 2019CLIA Certified · 2 labs
167 MOORE RD STE 206, KING, NC 27021(336) 673-6450(336) 673-6449 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 24, 2022 and 3 more (6 updates tracked since 2019).

About Novant Health Mountainview Medical Extended Care NPPES

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

NOVANT HEALTH MOUNTAINVIEW MEDICAL EXTENDED CARE (NPI 1245797745) is a healthcare organization registered as a family medicine in King, North Carolina and active in the NPI registry since February 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in King, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1245797745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address167 MOORE RD STE 206King, NC 27021-8770
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 673-6450
Fax(336) 673-6449
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateFebruary 21, 2019
Last NPPES UpdateJuly 9, 20246 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1245797745 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.
167 MOORE RD STE 206, King, NC 27021
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Other Names 1

Doing Business AsNovant Health Mountainview Medical Extended Care

Secondary Practice Location 1

Location 1167 Moore Rd Ste 201King, NC 27021-8770 · Phone (336) 983-4346

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 Mountainview Medical Extended Care 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 Mountainview Medical Extended Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 38 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
Judy Grove, FNP
Nurse Practitioner
NPI 1720732084
167 MOORE RD STE 206
King, NC 27021
(336) 673-6450
✔ PECOS✔ Accepts MedicareSame address
Caroline Harbour, MSN, FNP-C
Nurse Practitioner
NPI 1447994157
167 MOORE RD STE 201
King, NC 27021
(336) 673-6470
✔ PECOS✔ Accepts MedicareSame address
Katherine Haymore, CPNP
Nurse Practitioner
NPI 1942524418
167 MOORE RD STE 201
King, NC 27021
(336) 673-6470
✔ PECOSSame address
Deborah James
Nurse Practitioner
NPI 1881995371
167 MOORE RD STE 206
King, NC 27021
(336) 673-6450
✔ PECOS✔ Accepts MedicareSame address
Leilani Jumawid
Nurse Practitioner
NPI 1871900548
167 MOORE RD STE 206
King, NC 27021
(336) 673-6450
✔ PECOS✔ Accepts MedicareSame address
Jaden Miethe, NP
Nurse Practitioner
NPI 1376208777
167 MOORE RD STE 201
King, NC 27021
(336) 673-6470
✔ PECOSSame address
Michelle Linkous, D.O.
Pediatric Medicine
NPI 1598925166
167 MOORE RD STE 201
King, NC 27021
(336) 673-6470
✔ PECOS0.1 mi
Michele Lizano, FNP-C
Nurse Practitioner
NPI 1033518311
167 MOORE RD STE 206
King, NC 27021
(336) 673-6450
✔ PECOS✔ Accepts Medicare0.1 mi
Ashley Holder, NP-C
Nurse Practitioner
NPI 1962095513
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Sarah Berwanger, NP-C
Nurse Practitioner
NPI 1255789673
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Laurie Bowles, RN, NP
Nurse Practitioner
NPI 1750690285
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Eboni Ellis Farabee, M.D.
Family Practice
NPI 1356575211
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Brittany Everett, NP-C
Nurse Practitioner
NPI 1144678764
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Emily Fischer, NP-C
Nurse Practitioner
NPI 1235612813
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
William Graham, M.D.
Family Practice
NPI 1659487981
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Amber Hairford, M.D.
Family Practice
NPI 1124389796
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
James Jewell, MD
Internal Medicine
NPI 1760454474
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Sarah Jones, DO
Family Practice
NPI 1699416073
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Ashlee Laughey, MD
Family Practice
NPI 1639523327
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 mi
Alexa Pope, MD
Internal Medicine
NPI 1437736311
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare0.4 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 2

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 34D2168132

Novant Health Mountainview Medical Extended Care · King, NC
Active · expires May 11, 2028
CLIA Number34D2168132
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorHeidi C. Marlowe-Rogers
Laboratory Phone(336) 673-6450
Laboratory LocationNovant Health Mountainview Medical Extended Care167 Moore Rd, Suite 206, King, NC 27021
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.

Certificate of Accreditation 34D0237055

Novant Health Mountainview Medical · King, NC
Active · expires Feb 23, 2027
CLIA Number34D0237055
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorHeidi C. Marlowe-Rogers
Laboratory Phone(919) 983-4346
Laboratory LocationNovant Health Mountainview Medical216 Moore Road, King, NC 27021
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1245797745. It was assigned to this organization in the NPPES registry on February 21, 2019. The provider is doing business as Novant Health Mountainview Medical Extended Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 167 Moore Rd Ste 206, King, NC 27021. The listed phone number is (336) 673-6450.

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, 6 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.