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NOVANT HEALTH FAMILY MEDICINE LIBERTY PARK
NPI 1255187928
Family Medicine in Mooresville, NC

Active since April 24, 2024
417 E STATESVILLE AVE, MOORESVILLE, NC 28115(704) 663-3063(704) 663-4873 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Apr 24, 2024 (2 updates tracked since 2024).

About Novant Health Family Medicine Liberty Park NPPES

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

NOVANT HEALTH FAMILY MEDICINE LIBERTY PARK (NPI 1255187928) is a healthcare organization registered as a family medicine in Mooresville, North Carolina and active in the NPI registry since April 2024. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1255187928
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address417 E STATESVILLE AVEMooresville, NC 28115-2590
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 663-3063
Fax(704) 663-4873
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateApril 24, 2024
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1255187928 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.
417 E STATESVILLE AVE, Mooresville, NC 28115
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Other Names 1

Doing Business AsNovant Health Family Medicine Liberty Park

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

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.

THOMAS EMIL GROSS M.D.
Family Medicine (Geriatric Medicine)
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
MOORESVILLE PPM LLC
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-2389
NOVANT MEDICAL GROUP, INC.
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
AMY NEAL FNP-C
Nurse Practitioner
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
KELEY BRENNAN
Nurse Practitioner
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
MALCOLM SYMES
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063

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 1255187928. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Novant Health Family Medicine Liberty Park.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 417 E Statesville Ave, Mooresville, NC 28115. The listed phone number is (704) 663-3063.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on May 2, 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.