1. Home
  2. Directory
  3. North Carolina
  4. Lewisville
  5. Family Medicine
  6. NPI Profile

NOVANT HEALTH SHALLOWFORD FAMILY MEDICINE
NPI 1548726060
Family Medicine in Lewisville, NC

Active since February 20, 2019CLIA 34D2166242 · Waiver
165 LOWES FOODS DR, LEWISVILLE, NC 27023(336) 893-2270(336) 893-2279 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 and 1 more (4 updates tracked since 2019).

About Novant Health Shallowford Family Medicine NPPES

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

NOVANT HEALTH SHALLOWFORD FAMILY MEDICINE (NPI 1548726060) is a healthcare organization registered as a family medicine in Lewisville, North Carolina and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1548726060
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address165 LOWES FOODS DRLewisville, NC 27023-8258
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 893-2270
Fax(336) 893-2279
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateFebruary 20, 2019
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1548726060 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.
165 LOWES FOODS DR, Lewisville, NC 27023
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Shallowford Family Medicine

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 Waiver 34D2166242

Novant Health Shallowford Family Medicine · Lewisville, NC
Active · expires Dec 6, 2026
CLIA Number34D2166242
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorJennifer A. League-Sobon
Laboratory Phone(336) 893-2270
Laboratory LocationNovant Health Shallowford Family Medicine165 Lowes Food Drive, Lewisville, NC 27023
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LAURA BETH MORAITIS PA
Physician Assistant
165 LOWES FOODS DR
LEWISVILLE, NC 27023
Forsyth County (336) 893-2270
ANABELA BARRETO PA-C
Physician Assistant
165 LOWES FOODS DR
LEWISVILLE, NC 27023
Forsyth County (336) 893-2270
DR. JENNIFER AMBER LEAGUE-SOBON MD
Family Medicine
165 LOWES FOODS DR
LEWISVILLE, NC 27023
Forsyth County (336) 893-2270

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 1548726060. It was assigned to this organization in the NPPES registry on February 20, 2019. The provider is doing business as Novant Health Shallowford Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 165 Lowes Foods Dr, Lewisville, NC 27023. The listed phone number is (336) 893-2270.

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

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

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

Yes. A Certificate of Waiver (number 34D2166242) is associated with this NPI, valid through December 6, 2026. 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 July 9, 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.