NOVANT HEALTH BALLANTYNE FAMILY AND SPORTS MEDICINE
NPI 1255825410
Family Medicine - Sports Medicine in Charlotte, NC

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1255825410. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider is doing business as Novant Health Ballantyne Family And Sports Medicine.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 20, 2018CLIA 34D2161445 · Microscopy

15033 BALLONCROFT PARKWAY, SUITE 200, CHARLOTTE, NC 28277(704) 316-2920 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jul 10, 2023, Aug 18, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Novant Health Ballantyne Family And Sports Medicine NPPES

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

NOVANT HEALTH BALLANTYNE FAMILY AND SPORTS MEDICINE (NPI 1255825410) is a healthcare organization registered as a sports medicine in Charlotte, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Microscopy certificate valid through January 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1255825410

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address15033 BALLONCROFT PARKWAY, SUITE 200Charlotte, NC 28277

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268

Phone(704) 316-2920

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateJune 20, 2018

Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1255825410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

15033 BALLONCROFT PARKWAY, Charlotte, NC 28277

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Other Names 1

Doing Business AsNovant Health Ballantyne Family And Sports Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2161445

Novant Health Ballantyne Family And Sports Medicine · Charlotte, NC

Active · expires Jan 31, 2027

CLIA Number34D2161445

Laboratory TypePhysician Office

Certificate Effective DateFebruary 1, 2025

Certificate Expiration DateJanuary 31, 2027

Laboratory DirectorChristopher C. Felton

Laboratory Phone(704) 316-2920

Laboratory LocationNovant Health Ballantyne Family And Sports Medicine15033 Ballancroft Parkway, Suite 200, Charlotte, NC 28277

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1255825410. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider is doing business as Novant Health Ballantyne Family And Sports Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 15033 Balloncroft Parkway Suite 200, Charlotte, NC 28277. The listed phone number is (704) 316-2920.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2161445) is associated with this NPI, valid through January 31, 2027. 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 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.