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NOVANT HEALTH MEDICAL GROUP, LLC
NPI 1538039052
Family Medicine in North Wilkesboro, NC

Active since November 10, 2025
1919 W PARK DR, NORTH WILKESBORO, NC 28659(704) 999-9999 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Jan 2, 2026, Nov 10, 2025 (3 updates tracked since 2025).

About Novant Health Medical Group, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC (NPI 1538039052), doing business as Novant Health Diabetes Management Wilkesboro, is a healthcare organization registered as a family medicine in North Wilkesboro, North Carolina and active in the NPI registry since November 2025. The organization lists Leea Jeanine Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1538039052
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1919 W PARK DRNorth Wilkesboro, NC 28659-3564
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 999-9999
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEnrollment Manager · (704) 316-6081
Enumeration DateNovember 10, 2025
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1538039052 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.
1919 W PARK DR, North Wilkesboro, NC 28659
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Other Names 1

Doing Business AsNovant Health Diabetes Management Wilkesboro

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

Other Providers at the Same Location NPPES 16

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

DR. SARAH SHEPHERD MILLER RN, DNP, FNP-C
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. SANDRA K. BAKER MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. KRISTY MCLEOD BRAY APRN
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DEANNA DILLON
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MIRIANA LYON HAMILTON PA-C
Physician Assistant
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
JEFFREY DERICK MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DR. LAURALEE WILSON MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. ASHLEY ANNA SHELL
Physician Assistant
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980

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 1538039052. It was assigned to this organization in the NPPES registry on November 10, 2025. The provider is doing business as Novant Health Diabetes Management Wilkesboro.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1919 W Park Dr, North Wilkesboro, NC 28659. The listed phone number is (704) 999-9999.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.