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NOVANT HEALTH MINT HILL FAMILY MEDICINE
NPI 1407315856
Family Medicine in Mint Hill, NC

Active since March 15, 2019CLIA 34D2166255 · Waiver
11300 CRESTHILL DR, MINT HILL, NC 28227(980) 302-3550 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 1 more (4 updates tracked since 2019).

About Novant Health Mint Hill Family Medicine NPPES

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

NOVANT HEALTH MINT HILL FAMILY MEDICINE (NPI 1407315856) is a healthcare organization registered as a family medicine in Mint Hill, North Carolina and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1407315856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address11300 CRESTHILL DRMint Hill, NC 28227-7924
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8278
Phone(980) 302-3550
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMarch 15, 2019
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1407315856 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.
11300 CRESTHILL DR, Mint Hill, NC 28227
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Other Names 1

Doing Business AsNovant Health Mint Hill Family 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

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 34D2166255

Novant Health Mint Hill Family Medicine · Mint Hill, NC
Active · expires May 13, 2027
CLIA Number34D2166255
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorJames Reed
Laboratory Phone(980) 302-3550
Laboratory LocationNovant Health Mint Hill Family Medicine11300 Cresthill Drive, Mint Hill, NC 28227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MINT HILL SMILES
Dentist (General Practice)
11300 CRESTHILL DR
MINT HILL, NC 28227
Mecklenburg County (607) 727-9557

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 1407315856. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as Novant Health Mint Hill Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 11300 Cresthill Dr, Mint Hill, NC 28227. The listed phone number is (980) 302-3550.

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 34D2166255) is associated with this NPI, valid through May 13, 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.