NOVANT HEALTH PROSPERITY FAMILY PHYSICIANS
NPI 1346548898
Family Medicine in Charlotte, NC

Active since March 08, 2011CLIA 34D2021841 · Waiver
8420 UNIVERSITY EXEC PARK DR STE 850, CHARLOTTE, NC 28262(704) 384-1225(704) 384-1226 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 18, 2021 and 2 more (5 updates tracked since 2018).

About Novant Health Prosperity Family Physicians NPPES

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

NOVANT HEALTH PROSPERITY FAMILY PHYSICIANS (NPI 1346548898) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1346548898
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address8420 UNIVERSITY EXEC PARK DR STE 850Charlotte, NC 28262-1308
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 384-1226
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMarch 8, 2011
Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1346548898 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.
8420 UNIVERSITY EXEC PARK DR STE 850, Charlotte, NC 28262

Other Names 1

Doing Business AsNovant Health Prosperity Family Physicians

Other Identifiers 1

Medicaid5918729NC

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Prosperity Family Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040204001028Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

561

Medicare enrollment records show 561 clinicians reassign Medicare billing to Novant Health Prosperity Family Physicians, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 240 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Obstetrics/Gynecology131
Nurse Practitioner106
Family Practice87
Cardiovascular Disease (Cardiology)78
Certified Nurse Midwife (CNM)40
Internal Medicine21
Interventional Cardiology18
Pediatric Medicine18
15 other specialties62

Nearest to this location (20)

See all 561
Physical Therapist in Private Practice
NPI 1942880778
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 316-3850
Same address
Nurse Practitioner
NPI 1598480592
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184236218
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659877678
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1073174066
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306409255
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265013445
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487628657
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1700312279
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts Medicare2.8 mi
Family Practice
NPI 1295052843
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts Medicare2.8 mi
Obstetrics/Gynecology
NPI 1427445527
101 E W T HARRIS BLVD STE 5301
Charlotte, NC 28262
(704) 863-9640
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1265426696
4815 JOHNSTON OEHLER RD STE 100
Charlotte, NC 28269
(704) 801-7310
✔ PECOS✔ Accepts Medicare4.6 mi
Obstetrics/Gynecology
NPI 1750727293
416 E 36TH ST STE 200
Charlotte, NC 28205
(980) 302-9820
✔ PECOS✔ Accepts Medicare4.8 mi
Family Practice
NPI 1265965727
13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215
(704) 316-4990
✔ PECOS✔ Accepts Medicare4.9 mi
Internal Medicine
NPI 1083733273
7752 GATEWAY LN NW SUITE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1982771176
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts Medicare5.1 mi
Emergency Medicine
NPI 1689762809
9550 ROCKY RIVER RD STE 150
Charlotte, NC 28215
(704) 316-5281
✔ PECOS✔ Accepts Medicare5.3 mi
Orthopedic Surgery
NPI 1871757724
6909 PROSPERITY CHURCH RD
Huntersville, NC 28078
(704) 384-1680
✔ PECOS6.0 mi
Nurse Practitioner
NPI 1497713093
6909 PROSPERITY CHURCH RD
Huntersville, NC 28078
(704) 316-2050
✔ PECOS✔ Accepts Medicare6.0 mi
Obstetrics/Gynecology
NPI 1508434481
6555 KEE LN STE 200
Harrisburg, NC 28075
(704) 316-2319
✔ PECOS✔ Accepts Medicare6.3 mi
See all 561 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 34D2021841

Novant Health Prosperity Family Physicians · Charlotte, NC
Active · expires Feb 23, 2028
CLIA Number34D2021841
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMark Inda
Laboratory Phone(704) 384-1225
Laboratory LocationNovant Health Prosperity Family Physicians8420 University Executive Park Drive, Suite 850, Charlotte, NC 28262
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 1346548898. It was assigned to this organization in the NPPES registry on March 8, 2011. The provider is doing business as Novant Health Prosperity Family Physicians.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 8420 University Exec Park Dr Ste 850, Charlotte, NC 28262. The listed phone number is (704) 384-1225.

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.

When is Novant Health Medical Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 561 clinicians in 23 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 Obstetrics/Gynecology (131), Nurse Practitioner (106) and Family Practice (87). Of these, 7 practice at this address and 240 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 34D2021841) is associated with this NPI, valid through February 23, 2028. 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.