NOVANT HEALTH OCEANSIDE FAMILY MEDICINE
NPI 1265778278
Family Medicine in Bolivia, NC

Active since December 19, 2012CLIA 34D2053519 · Waiver
257 HOSPITAL DR. SUITE 101, BOLIVIA, NC 28422(910) 721-4100(910) 721-4101 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, May 11, 2023 and 1 more (4 updates tracked since 2021).

About Novant Health Oceanside Family Medicine NPPES

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

NOVANT HEALTH OCEANSIDE FAMILY MEDICINE (NPI 1265778278) is a healthcare organization registered as a family medicine in Bolivia, North Carolina and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 31, 2027, maintains a secondary practice location in Bolivia, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1265778278
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address257 HOSPITAL DR. SUITE 101Bolivia, NC 28422-8411
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4100 · Fax (910) 721-4101
Fax(910) 721-4101
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateDecember 19, 2012
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1265778278 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.
257 HOSPITAL DR. SUITE 101, Bolivia, NC 28422

Other Names 1

Doing Business AsNovant Health Oceanside Family Medicine

Secondary Practice Location 1

Location 1584 Hospital Dr NE Unit CBolivia, NC 28422-0020 · Phone (910) 721-4100 · Fax (910) 721-4101

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

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 Oceanside Family Medicine 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 Oceanside Family Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 79 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
Nurse Practitioner
NPI 1104524271
257 HOSPITAL DR NE STE 100
Bolivia, NC 28422
(910) 721-4150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295511145
257 HOSPITAL DR NE STE 101
Bolivia, NC 28422
(910) 721-4100
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1023570629
257 HOSPITAL DR NE STE 200
Bolivia, NC 28422
(910) 721-4000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1184186611
257 HOSPITAL DR NE STE 200
Bolivia, NC 28422
(910) 721-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366798209
257 HOSPITAL DR NE STE 100
Bolivia, NC 28422
(910) 721-4150
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1326622333
257 HOSPITAL DR NE STE 101
Bolivia, NC 28422
(910) 721-4100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629008149
584 HOSPITAL DR NE STE. B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1205692365
584 HOSPITAL DR SUITE B
Bolivia, NC 28422
(630) 740-6161
✔ PECOS0.1 mi
Certified Nurse Midwife (CNM)
NPI 1194222869
584 HOSPITAL DR NE UNIT B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1457642134
584 HOSPITAL DRIVE SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1821678368
584 HOSPITAL DR NE UNIT D
Bolivia, NC 28422
(910) 721-4150
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1477716280
584 HOSPITAL DR NE UNIT D
Bolivia, NC 28422
(910) 721-4150
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1679731822
584 HOSPITAL DR SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare0.1 mi
General Practice
NPI 1134583768
584 HOSPITAL DR NE UNIT B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1710919006
584 HOSPITAL DR NE UNIT D
Bolivia, NC 28422
(910) 721-4150
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1487148367
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1205414398
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1285637108
240 HOSPITAL DR NE
Bolivia, NC 28422
(252) 527-6565
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1710963475
257 HOSPITAL DRIVE SUITE 200
Bolivia, NC 28422
(910) 721-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1306264122
257 HOSPITAL DR. SUITE 101
Bolivia, NC 28422
(910) 721-4100
✔ PECOS✔ Accepts Medicare0.2 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

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 34D2053519

Novant Health Oceanside Family Medicine - Bolivia · Bolivia, NC
Active · expires Jan 31, 2027
CLIA Number34D2053519
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDavid B. Schmitz
Laboratory Phone(910) 721-4100
Laboratory LocationNovant Health Oceanside Family Medicine - Bolivia257 Hospital Dr NE Ste 101, Bolivia, NC 28422
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 1265778278. It was assigned to this organization in the NPPES registry on December 19, 2012. The provider is doing business as Novant Health Oceanside Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 257 Hospital Dr. Suite 101, Bolivia, NC 28422. The listed phone number is (910) 721-4100.

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 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 34D2053519) 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 Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer 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.