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NOVANT HEALTH BARIATRIC SOLUTIONS
NPI 1609120492
Internal Medicine - Obesity Medicine in Kernersville, NC

Active since November 01, 2012CLIA 34D2312504 · Waiver
1730 KERNERSVILLE MEDICAL PKWY STE 101, KERNERSVILLE, NC 27284(336) 564-4950(336) 564-4959 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jun 20, 2024, Jul 10, 2023 and 1 more (4 updates tracked since 2021).

About Novant Health Bariatric Solutions NPPES

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

NOVANT HEALTH BARIATRIC SOLUTIONS (NPI 1609120492) is a healthcare organization registered as an obesity medicine in Kernersville, North Carolina and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 13, 2026, maintains a secondary practice location in Rural Hall, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1609120492
Entity TypeOrganization
Primary Taxonomy207RB0002X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1730 KERNERSVILLE MEDICAL PKWY STE 101Kernersville, NC 27284-7198
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Phone(336) 564-4950
Fax(336) 564-4959
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 1, 2012
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1609120492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RB0002X
Definition
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
1730 KERNERSVILLE MEDICAL PKWY STE 101, Kernersville, NC 27284
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Other Names 1

Doing Business AsNovant Health Bariatric Solutions

Secondary Practice Location 1

Location 1648 Almondridge DrRural Hall, NC 27045-9887 · Phone (336) 277-2470 · Fax (336) 277-2479

Other Identifiers 1

Medicaid5921790NC

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 34D2312504

Novant Health Bariatric Solutions - Rural Hall · Rural Hall, NC
Active · expires Oct 13, 2026
CLIA Number34D2312504
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorJames Dasher
Laboratory Phone(336) 564-4962
Laboratory LocationNovant Health Bariatric Solutions - Rural Hall648 Almondridge Dr, Rural Hall, NC 27045
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

MR. TYWAN J LINDSEY LCSW
Social Worker (Clinical)
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
MRS. MAI LEE VUE LCSW
Social Worker (Clinical)
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
MANDY MARIE SPERLE FNP-C
Nurse Practitioner
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
REBECCA ALLEN JONES RD
Dietitian, Registered
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
KAREN AZAR KAZEMI MPH, RD.
Dietitian, Registered
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
JAMIE LYNN SZYMAREK FNP
Nurse Practitioner
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
SHANIA NAGE MEDEUS
Dietitian, Registered
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950
CARENTXA IRYVA GOEDE
Physician Assistant
1730 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4950

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 1609120492. It was assigned to this organization in the NPPES registry on November 1, 2012. The provider is doing business as Novant Health Bariatric Solutions.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284. The listed phone number is (336) 564-4950.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

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

Yes. A Certificate of Waiver (number 34D2312504) is associated with this NPI, valid through October 13, 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 September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.