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NOVANT HEALTH WAUGHTOWN PEDIATRICS
NPI 1457003386
Pediatrics in Winston Salem, NC

Active since January 21, 2022CLIA 34D2136295 · Certificate of Compliance
648 E MONMOUTH ST, WINSTON SALEM, NC 27107(336) 718-4360(336) 718-4369 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Jul 12, 2023, Jan 21, 2022 (3 updates tracked since 2022).

About Novant Health Waughtown Pediatrics NPPES

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

NOVANT HEALTH WAUGHTOWN PEDIATRICS (NPI 1457003386) is a healthcare organization registered as a pediatrics in Winston Salem, North Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Certificate of Compliance certificate valid through August 11, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1457003386
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address648 E MONMOUTH STWinston Salem, NC 27107-3227
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-4360
Fax(336) 718-4369
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJanuary 21, 2022
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1457003386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
648 E MONMOUTH ST, Winston Salem, NC 27107
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Other Names 1

Doing Business AsNovant Health Waughtown Pediatrics

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 Compliance 34D2136295

Novant Health Waughtown Pediatrics · Winston-Salem, NC
Active · expires Aug 11, 2027
CLIA Number34D2136295
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorEllen R. Robinson
Laboratory Phone(336) 718-4360
Laboratory LocationNovant Health Waughtown Pediatrics648 E Monmouth Street, Winston-Salem, NC 27107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

SARAH SCHALLER MSW
Social Worker (Clinical)
648 E MONMOUTH ST
WINSTON SALEM, NC 27107
Forsyth County (336) 718-4360
REBECCA MORRISON OTALLAH LPC
Counselor (Professional)
648 E MONMOUTH ST
WINSTON SALEM, NC 27107
Forsyth County (336) 718-4360
MISS MARY BETH YOUNG LCSW
Social Worker (Clinical)
648 E MONMOUTH ST
WINSTON SALEM, NC 27107
Forsyth County (336) 718-4360

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 1457003386. It was assigned to this organization in the NPPES registry on January 21, 2022. The provider is doing business as Novant Health Waughtown Pediatrics.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 648 E Monmouth St, Winston Salem, NC 27107. The listed phone number is (336) 718-4360.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Compliance (number 34D2136295) is associated with this NPI, valid through August 11, 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 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.