NOVANT HEALTH NEUROLOGY
NPI 1568901254
Psychiatry & Neurology - Neurology in Shallotte, NC

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1568901254. It was assigned to this organization in the NPPES registry on February 15, 2017. The provider is doing business as Novant Health Neurology.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since February 15, 2017

512 VILLAGE RD STE 207, SHALLOTTE, NC 28470(910) 721-4220(910) 721-4229 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, Jul 11, 2023, Aug 17, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Novant Health Neurology NPPES

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

NOVANT HEALTH NEUROLOGY (NPI 1568901254) is a healthcare organization registered as a neurology in Shallotte, North Carolina and active in the NPI registry since February 2017. The organization maintains a secondary practice location in Shallotte and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1568901254

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address512 VILLAGE RD STE 207Shallotte, NC 28470-3409

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4220 · Fax (910) 721-4229

Phone(910) 721-4220

Fax(910) 721-4229

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateFebruary 15, 2017

Last NPPES UpdateJune 12, 20245 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1568901254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

512 VILLAGE RD STE 207, Shallotte, NC 28470

Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Neurology

Secondary Practice Location 1

Location 1204 Smith AveShallotte, NC 28470-4458 · Phone (910) 721-4220 · Fax (910) 721-4229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Neurology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Neurology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 73 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759

Family Practice327

Hospitalist302

Pediatric Medicine233

Obstetrics/Gynecology187

Internal Medicine178

Neurology150

Cardiovascular Disease (Cardiology)94

55 other specialties761

Nearest to this location (20)

See all 2,991

Jada Butler, FNP

Nurse Practitioner

NPI 1194422329

512 VILLAGE RD STE 205
Shallotte, NC 28470

(910) 754-4441