NOVANT HEALTH PRESBYTERIAN INTERNAL MEDICINE
NPI 1376870832
Internal Medicine in Charlotte, NC

Active since November 04, 2009CLIA 34D0244015 · Waiver
1918 RANDOLPH RD, SUITE 350, CHARLOTTE, NC 28207(704) 384-1750(704) 384-1704 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Novant Health Presbyterian Internal Medicine NPPES

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

NOVANT HEALTH PRESBYTERIAN INTERNAL MEDICINE (NPI 1376870832) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1376870832
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHE PRESBYTERIAN HOSPITAL
Location Address1918 RANDOLPH RD, SUITE 350Charlotte, NC 28207-1111
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1750 · Fax (704) 384-1704
Fax(704) 384-1704
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 4, 2009
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1376870832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1918 RANDOLPH RD, Charlotte, NC 28207

Other Names 1

Doing Business AsNovant Health Presbyterian Internal Medicine

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

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 Presbyterian Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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 IDO20040223001121Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

925

Medicare enrollment records show 925 clinicians reassign Medicare billing to Novant Health Presbyterian Internal Medicine, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 352 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Certified Registered Nurse Anesthetist (CRNA)546
Nurse Practitioner91
Cardiovascular Disease (Cardiology)75
Hematology/Oncology29
Hospitalist25
Internal Medicine22
Interventional Cardiology21
Cardiac Electrophysiology11
26 other specialties105

Nearest to this location (20)

See all 925
Obstetrics/Gynecology
NPI 1255990719
1918 RANDOLPH RD STE 670
Charlotte, NC 28207
(704) 384-1620
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1639339450
1918 RANDOLPH RD STE 700
Charlotte, NC 28207
(704) 316-1220
✔ PECOSSame address
Neurology
NPI 1871756759
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOSSame address
Endocrinology
NPI 1760724983
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1922092253
1918 RANDOLPH RD SUITE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1295353126
1918 RANDOLPH RD STE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093798225
1918 RANDOLPH RD SUITE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOSSame address
Endocrinology
NPI 1114927399
1918 RANDOLPH RD STE 220 SUITE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1457639411
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1578790549
1918 RANDOLPH ROAD SUITE # 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1740506450
1918 RANDOLPH RD STE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1356587661
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306828967
1918 RANDOLPH RD SUITE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1649459942
1918 RANDOLPH RD SUITE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053883223
1918 RANDOLPH RD STE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104321538
1918 RANDOLPH RD STE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1013944248
1918 RANDOLPH RD SUITE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1306265228
1718 E 4TH ST STE 307
Charlotte, NC 28204
(704) 333-1259
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1376511659
1718 E 4TH ST SUITE 501
Charlotte, NC 28204
(704) 343-9800
✔ PECOS0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1730232471
1718 E 4TH ST SUITE 501
Charlotte, NC 28204
(704) 343-9800
✔ PECOS0.1 mi
See all 925 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 34D0244015

Novant Health Presbyterian Internal Medicine · Charlotte, NC
Active · expires Jun 10, 2028
CLIA Number34D0244015
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorSergio R. Patton
Laboratory Phone(704) 384-1750
Laboratory LocationNovant Health Presbyterian Internal Medicine1918 Randolph Road, Suite 350, Charlotte, NC 28207
CLIA data matches this NPI record on: Address 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 The Presbyterian Hospital's NPI number?

The NPI number for The Presbyterian Hospital is 1376870832. It was assigned to this organization in the NPPES registry on November 4, 2009. The provider is doing business as Novant Health Presbyterian Internal Medicine.

Where is The Presbyterian Hospital located?

The Presbyterian Hospital is located at 1918 Randolph Rd Suite 350, Charlotte, NC 28207. The listed phone number is (704) 384-1750.

What is The Presbyterian Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is The Presbyterian Hospital enrolled in Medicare?

Yes. The Presbyterian Hospital is registered in the Medicare PECOS enrollment system.

When is The Presbyterian Hospital'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 March 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 The Presbyterian Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 925 clinicians in 34 Medicare specialties reassign their Medicare billing to The Presbyterian Hospital. 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 Certified Registered Nurse Anesthetist (CRNA) (546), Nurse Practitioner (91) and Cardiovascular Disease (Cardiology) (75). Of these, 17 practice at this address and 352 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Presbyterian Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244015) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Presbyterian Hospital was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.