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NOVANT HEALTH SENIOR LIVING PRIMARY CARE
NPI 1346805660
Family Medicine in Winston Salem, NC

Active since May 02, 2019CLIA 34D2274343 · Waiver
190 MORAVIAN WAY DR, WINSTON SALEM, NC 27106(336) 856-0801(336) 856-2804 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 12, 2023, Nov 14, 2022 and 2 more (5 updates tracked since 2019).

About Novant Health Senior Living Primary Care NPPES

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

NOVANT HEALTH SENIOR LIVING PRIMARY CARE (NPI 1346805660) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1346805660
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address190 MORAVIAN WAY DRWinston Salem, NC 27106-3216
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 856-0801
Fax(336) 856-2804
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 2, 2019
Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1346805660 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.
190 MORAVIAN WAY DR, Winston Salem, NC 27106
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Other Names 1

Doing Business AsNovant Health Senior Living Primary Care

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 34D2274343

Novant Health Senior Living Primary Care - Salemtowne · Winston-Salem, NC
Active · expires Jan 2, 2027
CLIA Number34D2274343
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorSydney M. Clark
Laboratory Phone(336) 277-0963
Laboratory LocationNovant Health Senior Living Primary Care - Salemtowne190 Moravian Way, Winston-Salem, NC 27106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

SHANNON JO FOSTER
Occupational Therapy Assistant
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
ERILEN ANA GOMEZ COTA/L
Occupational Therapy Assistant
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
HANNAH BIRDSALL NAQUIN
Speech-Language Pathologist
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
ALYSSA PEARL FITZGERALD
Speech-Language Pathologist
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (865) 210-8374
MOLLY BROWN
Occupational Therapist
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
CARMEN C REICHLE
Physical Therapist
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
CLAIRE GILCHRIST MSOT, OTR/L
Occupational Therapist
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130
JENNIFER HURD
Physical Medicine & Rehabilitation
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106
Forsyth County (336) 767-8130

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 1346805660. It was assigned to this organization in the NPPES registry on May 2, 2019. The provider is doing business as Novant Health Senior Living Primary Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 190 Moravian Way Dr, Winston Salem, NC 27106. The listed phone number is (336) 856-0801.

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 34D2274343) is associated with this NPI, valid through January 2, 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 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.