1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Obstetrics Gynecology
  6. NPI Profile

NOVANT HEALTH UROGYNECOLOGY
NPI 1447414925
Obstetrics & Gynecology in Charlotte, NC

Active since July 15, 2008CLIA Certified · 3 labs
6324 FAIRVIEW RD, STE 390, CHARLOTTE, NC 28210(704) 316-1120(704) 316-1121 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2024, Jun 21, 2024, Jul 12, 2023 and 5 more (8 updates tracked since 2016).

About Novant Health Urogynecology NPPES

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

NOVANT HEALTH UROGYNECOLOGY (NPI 1447414925) is a healthcare organization registered as an obstetrics & gynecology in Charlotte, North Carolina and active in the NPI registry since July 2008. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1447414925
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address6324 FAIRVIEW RD, STE 390Charlotte, NC 28210-4173
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-1120 · Fax (704) 316-1121
Phone(704) 316-1120
Fax(704) 316-1121
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJuly 15, 2008
Last NPPES UpdateJuly 16, 20248 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1447414925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X
6324 FAIRVIEW RD, Charlotte, NC 28210
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Urogynecology

Secondary Practice Locations 5

Location 110220 Prosperity Park Dr Ste 300Charlotte, NC 28269-1106 · Phone (704) 316-1120 · Fax (704) 316-1121
Location 2106 Langtree Village Dr Ste 200Mooresville, NC 28117-7594 · Phone (704) 384-7101 · Fax (704) 384-7102
Location 38201 Healthcare Loop Ste 302Charlotte, NC 28215-7072 · Phone (704) 316-1120 · Fax (704) 316-1121
Location 49930 Kincey Ave Ste 220Huntersville, NC 28078-6541 · Phone (704) 316-1120 · Fax (704) 384-1461
Location 56324 Fairview Rd Ste 420Charlotte, NC 28210-3372 · Phone (704) 316-1120 · Fax (704) 316-1121

Other Identifiers 1

Medicaid1447414925NC

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 Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Urogynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Urogynecology, which bills Medicare for the services they deliver. Of these, 46 practice at this address and 956 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Jazmine Ackerman, FNP-C
Nurse Practitioner
NPI 1174412902
6324 FAIRVIEW RD STE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOS✔ Accepts MedicareSame address
Asaad Ahmed, M.D.
Hospitalist
NPI 1063618312
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(704) 316-6565
✔ PECOS✔ Accepts MedicareSame address
Matthew Arroyo, MD
Internal Medicine
NPI 1538131818
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(980) 302-8680
✔ PECOS✔ Accepts MedicareSame address
Cho Aye
Geriatric Medicine
NPI 1558922641
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(704) 316-6565
✔ PECOS✔ Accepts MedicareSame address
Kristi Balavage, MD
Obstetrics/Gynecology
NPI 1104320563
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS✔ Accepts MedicareSame address
Blake Bertolino
Neurology
NPI 1477136711
6324 FAIRVIEW RD STE 400
Charlotte, NC 28210
(406) 281-1173
✔ PECOS✔ Accepts MedicareSame address
Julie Bogguss, FNP
Nurse Practitioner
NPI 1205898764
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Christina Brose, CNM
Certified Nurse Midwife (CNM)
NPI 1588044911
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOSSame address
Janie Chai, MD
Pediatric Medicine
NPI 1881689651
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Kevin Courts
Family Practice
NPI 1245735315
6324 FAIRVIEW RD STE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOS✔ Accepts MedicareSame address
Daniel Donner, MD
Pediatric Medicine
NPI 1710322367
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Rupendra Ghatak
Neurology
NPI 1831732809
6324 FAIRVIEW RD STE 400
Charlotte, NC 28210
(980) 302-6400
✔ PECOS✔ Accepts MedicareSame address
Karen Holst, MSW, LCSW
Clinical Social Worker
NPI 1376676601
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Kenisha Hopkins, MSW, LCSW
Clinical Social Worker
NPI 1255945085
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Sahithi Jarugula, MBBS
Rheumatology
NPI 1215228655
6324 FAIRVIEW RD STE 330
Charlotte, NC 28210
(704) 316-1950
✔ PECOS✔ Accepts MedicareSame address
Khadijah Lewis
Marriage and Family Therapist
NPI 1083237598
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Peter Mack, MD
Family Practice
NPI 1922202225
6324 FAIRVIEW RD SUITE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOSSame address
Eleanor Mccurdy
Obstetrics/Gynecology
NPI 1467471771
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS✔ Accepts MedicareSame address
Kimberly Miller, AU.D.
Qualified Audiologist
NPI 1245548999
6324 FAIRVIEW RD STE 202
Charlotte, NC 28210
(980) 302-9740
✔ Accepts MedicareSame address
William Porter, MD
Urology
NPI 1750380549
6324 FAIRVIEW RD STE 420
Charlotte, NC 28210
(704) 316-1120
✔ PECOS✔ Accepts MedicareSame address
See all 2,991 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 3

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 34D1090828

Novant Health Urogynecology · Charlotte, NC
Active · expires May 29, 2028
CLIA Number34D1090828
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorWilliam Porter
Laboratory Phone(704) 316-1120
Laboratory LocationNovant Health Urogynecology6324 Fairview Road, Suite 420, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2110112

Novant Health Urogynocology · Huntersville, NC
Active · expires Jul 9, 2027
CLIA Number34D2110112
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorJoseph N. Malek
Laboratory Phone(704) 316-1120
Laboratory LocationNovant Health Urogynocology9930 Kincey Ave, Suite 220, Huntersville, NC 28078
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2177478

Novant Health Urogynecology - Mint Hill · Charlotte, NC
Active · expires Jan 12, 2028
CLIA Number34D2177478
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorWilliam E. Porter
Laboratory Phone(704) 316-1120
Laboratory LocationNovant Health Urogynecology - Mint Hill8201 Healthcare Loop, Suite 202, Charlotte, NC 28215
CLIA data matches this NPI record on: 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 Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1447414925. It was assigned to this organization in the NPPES registry on July 15, 2008. The provider is doing business as Novant Health Urogynecology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 6324 Fairview Rd Ste 390, Charlotte, NC 28210. The listed phone number is (704) 316-1120.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. 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 Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 46 practice at this address and 956 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Cigna Healthcare 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 16, 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.