1. Home
  2. Directory
  3. South Carolina
  4. Fort Mill
  5. Emergency Medicine
  6. NPI Profile

NOVANT HEALTH RED VENTURES WELLNESS CENTER
NPI 1528690377
Emergency Medicine in Fort Mill, SC

Active since February 10, 2020CLIA Certified · 5 labs
1423 RED VENTURES DR, FORT MILL, SC 29707(803) 992-8030(803) 992-8031 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Novant Health Red Ventures Wellness Center NPPES

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

NOVANT HEALTH RED VENTURES WELLNESS CENTER (NPI 1528690377) is a healthcare organization registered as an emergency medicine in Fort Mill, South Carolina and active in the NPI registry since February 2020. The organization holds 5 active CLIA laboratory certificates and lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1528690377
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameNOVANT HEALTH, INC.
Location Address1423 RED VENTURES DRFort Mill, SC 29707-5019
Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614
Phone(803) 992-8030
Fax(803) 992-8031
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Manager · (704) 316-7845
Enumeration DateFebruary 10, 2020
Last NPPES UpdateFebruary 12, 2020
✔ NPI 1528690377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1423 RED VENTURES DR, Fort Mill, SC 29707
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Red Ventures Wellness Center

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

CLIA Laboratory Certificates CMS CLIA 5

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 42D1060448

Novant Health Indian Land Primary · Indian Land, SC
Active · expires Sep 27, 2027
CLIA Number42D1060448
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. Sara A. Swanton
Laboratory Phone(803) 548-9393
Laboratory LocationNovant Health Indian Land Primary8500 Charlotte Hwy, Indian Land, SC 29707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2224567

Novant Health Forsyth Heart And Wellness - Hvi Cp Rehab · Winston Salem, NC
Active · expires May 12, 2027
CLIA Number34D2224567
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorSuanna L. Glover
Laboratory Phone(336) 718-1645
Laboratory LocationNovant Health Forsyth Heart And Wellness - Hvi Cp Rehab725 Highland Oaks, Suite 210, Winston Salem, NC 27103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2091833

Novant Health Team Member Health And Wellness - Forsyth · Winston-Salem, NC
Active · expires Feb 19, 2027
CLIA Number34D2091833
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorLisa J. Stevens
Laboratory Phone(336) 718-0944
Laboratory LocationNovant Health Team Member Health And Wellness - Forsyth3333 Silas Creek Parkway, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 34D0237590

Novant Health Forsyth Medical Center Laboratory · Winston-Salem, NC
Active · expires Feb 8, 2027
CLIA Number34D0237590
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Nathan Cuka
Laboratory Phone(336) 718-6424
Laboratory LocationNovant Health Forsyth Medical Center Laboratory3333 Silas Creek Parkway, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 34D2038737

Novant Health Corporate Health · Winston-Salem, NC
Active · expires Sep 30, 2026
CLIA Number34D2038737
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 28, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorChristopher R. Madden
Laboratory Phone(336) 277-1631
Laboratory LocationNovant Health Corporate Health3330 Healy Drive Suite 102, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name
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

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

NOVANT HEALTH EMPLOYER SOLUTIONS, LLC
Emergency Medicine
1423 RED VENTURES DR
FORT MILL, SC 29707
Lancaster County (803) 992-8030

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, Inc.'s NPI number?

The NPI number for Novant Health, Inc. is 1528690377. It was assigned to this organization in the NPPES registry on February 10, 2020. The provider is doing business as Novant Health Red Ventures Wellness Center.

Where is Novant Health, Inc. located?

Novant Health, Inc. is located at 1423 Red Ventures Dr, Fort Mill, SC 29707. The listed phone number is (803) 992-8030.

What is Novant Health, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Novant Health, Inc. hold CLIA laboratory certificates?

Yes. 5 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.

When was this NPI record last updated?

The NPPES record for Novant Health, Inc. was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.