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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: August 02, 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
Phone(704) 384-1225
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
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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

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 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINA MAGNO MANALO MD
Family Medicine
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-1225
NOVANT MEDICAL GROUP, INC
Physical Therapist
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-7833
HEATHER DAWN DETRIZIO MSN, FNP-C
Nurse Practitioner
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-1225
STEPHANIE LYNN LAWSON WILSON PT, DPT
Physical Therapist
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-3850
YENG YANG DO
Family Medicine
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-1225
LAUREN ELIZABETH CRAIG DPT
Physical Therapist
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-3850
DR. RACHEL ALESSANDRA NEWSOME DO
Family Medicine
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-1225
DR. MICHELLE ELIZABETH FEGGANS PT, DPT
Physical Therapist
8420 UNIVERSITY EXEC PARK DR STE 850
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-3850

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.

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 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.