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NOVANT HEALTH UNIVERSITY FAMILY PHYSICIANS
NPI 1336181452
Family Medicine in Charlotte, NC

Active since June 12, 2006CLIA 34D0676258 · Certificate of Compliance
10810 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 510-8000(704) 510-8006 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health University Family Physicians NPPES

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

NOVANT HEALTH UNIVERSITY FAMILY PHYSICIANS (NPI 1336181452) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1336181452
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address10810 MALLARD CREEK RDCharlotte, NC 28262-9786
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 510-8000 · Fax (704) 510-8006
Phone(704) 510-8000
Fax(704) 510-8006
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1336181452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
10810 MALLARD CREEK RD, Charlotte, NC 28262
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Other Names 1

Doing Business AsNovant Health University Family Physicians

Other Identifiers 3

Other015H7NC · Bcbs Nc
Medicaid89015H7NC
OtherDE6891NC · Railroad Medicare

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, Cigna Healthcare.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 University Family Physicians 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 University Family Physicians, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 643 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
Sylvia Bartee, MD
Family Practice
NPI 1275595217
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Erika Chambliss, MD
Family Practice
NPI 1720379274
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Anton Dahbura, DO
Family Practice
NPI 1215678719
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Curtis Desena, MD
Family Practice
NPI 1245293786
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
James Desimone, FNP
Nurse Practitioner
NPI 1700312279
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Megin Gregory, MD
Family Practice
NPI 1770809592
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOSSame address
Ronald Jandebeur, NP
Nurse Practitioner
NPI 1952314858
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Nichole Johnson, MD
Family Practice
NPI 1295052843
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Charity Karwowski, MD
Family Practice
NPI 1922009141
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Stuart Miller, M.D.
Family Practice
NPI 1396708707
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
George Williams
Family Practice
NPI 1659877389
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOSSame address
Jennifer Woodell
Nurse Practitioner
NPI 1639795891
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Felicia Harrell, AGPCNP-BC
Nurse Practitioner
NPI 1497130306
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Tara Kennedy, FNP- BC
Nurse Practitioner
NPI 1245424761
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts MedicareSame address
Vanessa Pethel
Nurse Practitioner
NPI 1689384901
10515 MALLARD CREEK RD
Charlotte, NC 28262
(704) 547-9739
✔ PECOS✔ Accepts Medicare0.3 mi
Andreas Magnusson, MD
Family Practice
NPI 1457086233
10320 MALLARD CREEK RD STE 271
Charlotte, NC 28262
(704) 412-8297
✔ PECOS✔ Accepts Medicare0.4 mi
Verdaro Draughn, LPC
Mental Health Counselor
NPI 1689032088
8401 MEDICAL PLAZA DR STE 360
Charlotte, NC 28262
(704) 208-4458
✔ PECOS1.8 mi
Trent John, MD
Pediatric Medicine
NPI 1821298522
8401 MEDICAL PLAZA DR SUITE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOS1.8 mi
Sheley Revis, MD
Internal Medicine
NPI 1407887573
8401 MEDICAL PLAZA DR SUITE 250
Charlotte, NC 28262
(704) 384-1500
✔ PECOS1.8 mi
India Taylor, FNP
Nurse Practitioner
NPI 1144809435
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOS1.8 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 Compliance 34D0676258

Novant Health University Family Physicians · Charlotte, NC
Active · expires Nov 15, 2026
CLIA Number34D0676258
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMegin Gregory
Laboratory Phone(704) 510-8000
Laboratory LocationNovant Health University Family Physicians10810 Mallard Creek Road, Charlotte, NC 28262
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.

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 1336181452. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Novant Health University Family Physicians.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 10810 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 510-8000.

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, 14 practice at this address and 643 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 Compliance (number 34D0676258) is associated with this NPI, valid through November 15, 2026. 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 and Cigna Healthcare 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.