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NOVANT HEALTH UROLOGY PARTNERS
NPI 1356705479
Urology in Carolina Shores, NC

Active since April 06, 2016CLIA 34D2112910 · Waiver
75 EMERSON BAY RD, SUITE 102, CAROLINA SHORES, NC 28467(910) 721-4000 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Urology Partners NPPES

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

NOVANT HEALTH UROLOGY PARTNERS (NPI 1356705479) is a healthcare organization registered as an urology in Carolina Shores, North Carolina and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1356705479
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address75 EMERSON BAY RD, SUITE 102Carolina Shores, NC 28467-2498
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4000 · Fax (910) 721-4001
Phone(910) 721-4000
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateApril 6, 2016
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1356705479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
75 EMERSON BAY RD, Carolina Shores, NC 28467
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Other Names 1

Doing Business AsNovant Health Urology Partners

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 34D2112910

Novant Health Urology Partners · Calabash, NC
Active · expires May 10, 2028
CLIA Number34D2112910
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorSteven Robbins
Laboratory Phone(910) 721-4000
Laboratory LocationNovant Health Urology Partners75 Emerson Bay Road SW, Suite 104 Carolina Shores, Calabash, NC 28467
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 4

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

DR. CANDICE M SIEBEN MD
Family Medicine
75 EMERSON BAY RD, SUITE 102
CAROLINA SHORES, NC 28467
Brunswick County (910) 579-8363
PAUL C. WHITESIDES JR. M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
75 EMERSON BAY RD, SUITE 102
CAROLINA SHORES, NC 28467
Brunswick County (910) 579-8363
AMANDA ELISE CARTER FNP-C
Nurse Practitioner
75 EMERSON BAY RD
CAROLINA SHORES, NC 28467
Brunswick County (910) 579-8363
KENNETH ALAN FORD FNP
Nurse Practitioner
75 EMERSON BAY RD
CAROLINA SHORES, NC 28467
Brunswick County (910) 579-8363

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 1356705479. It was assigned to this organization in the NPPES registry on April 6, 2016. The provider is doing business as Novant Health Urology Partners.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 75 Emerson Bay Rd Suite 102, Carolina Shores, NC 28467. The listed phone number is (910) 721-4000.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2112910) is associated with this NPI, valid through May 10, 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 June 21, 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.