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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: August 02, 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
Phone(910) 721-4100
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 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.

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 from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and 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.