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

Active since February 10, 2020CLIA 42D1060448 · Waiver
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: August 02, 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 a CLIA Waiver certificate valid through September 27, 2027 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
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

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

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.

Other Providers at the Same Location NPPES

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

Emergency Medicine
1423 RED VENTURES DR
FORT MILL, SC 29707

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1060448) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.