NOVANT HEALTH CARE CONNECTIONS PROVIDER SERVICES
NPI 1558877902
Family Medicine in Winston Salem, NC

NPI Status: Active since December 21, 2017

Contact Information

2150 COUNTRY CLUB RD STE 300
WINSTON SALEM, NC
ZIP 27104
Phone: (336) 277-5881
Fax: (336) 277-7823

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  • Organization
  • Family Medicine
  • CLIA Number: 34D0237654
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2027

About NOVANT HEALTH CARE CONNECTIONS PROVIDER SERVICES

This page provides the complete NPI Profile along with additional information for Novant Health Care Connections Provider Services, a primary care provider established in Winston Salem, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1558877902 assigned on December 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Novant Health Care Connections Provider Services. The authorized official of this NPI record is Geoffrey K Gardner (Vp Of Finance)

NPI
1558877902
Provider Legal Name
NOVANT MEDICAL GROUP. INC.
Other Organization Name
NOVANT HEALTH CARE CONNECTIONS PROVIDER SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2150 COUNTRY CLUB RD STE 300 WINSTON SALEM, NC 27104
Location Phone
(336) 277-5881
Location Fax
(336) 277-7823
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2017
Last Update Date
03-15-2018
Code Navigator

A primary care provider (PCP) like Novant Health Care Connections Provider Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEOFFREY K GARDNER

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(704) 384-7840

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0237654
Facility Type
Physician Office
Certificate Effective Date
June 29, 2025
Certificate Expiration Date
June 28, 2027
Laboratory Director
JAMES C. SPENCER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Novant Health Care Connections Provider Services after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558877902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 6 + 7 + 1 + 4 + 9 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558877902.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
2150 COUNTRY CLUB RD STE 300
WINSTON SALEM, NC 27104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558877902, enumerated as an "organization" on December 21, 2017.

The provider is located at 2150 COUNTRY CLUB RD STE 300 WINSTON SALEM, NC 27104 and the phone number is (336) 277-5881.

Family Medicine with taxonomy code 207Q00000X.