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: August 02, 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
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

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

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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
167 MOORE RD STE 206
KING, NC 27021
Physician Assistant
167 MOORE RD STE 206
KING, NC 27021
Nurse Practitioner
167 MOORE RD STE 206
KING, NC 27021
Nurse Practitioner
167 MOORE RD STE 206
KING, NC 27021
Nurse Practitioner
167 MOORE RD STE 206
KING, NC 27021
Nurse Practitioner
167 MOORE RD STE 206
KING, NC 27021

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.

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 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.