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NOVANT HEALTH OCEANSIDE FAMILY MEDICINE
NPI 1609528215
Family Medicine in Shallotte, NC

Active since January 25, 2022CLIA Certified · 2 labs
512 VILLAGE RD STE 205, SHALLOTTE, NC 28470(910) 754-4441(910) 754-5307 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Jan 25, 2022 (3 updates tracked since 2022).

About Novant Health Oceanside Family Medicine NPPES

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

NOVANT HEALTH OCEANSIDE FAMILY MEDICINE (NPI 1609528215) is a healthcare organization registered as a family medicine in Shallotte, North Carolina and active in the NPI registry since January 2022. The organization holds 2 active CLIA laboratory certificates and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1609528215
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address512 VILLAGE RD STE 205Shallotte, NC 28470-3409
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(910) 754-4441
Fax(910) 754-5307
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJanuary 25, 2022
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1609528215 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.
512 VILLAGE RD STE 205, Shallotte, NC 28470
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Other Names 1

Doing Business AsNovant Health Oceanside 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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 34D2254781

Novant Health Oceanside Family Medicine Shallotte · Shallotte, NC
Active · expires Mar 7, 2028
CLIA Number34D2254781
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorChristopher Isenhour
Laboratory Phone(910) 754-4441
Laboratory LocationNovant Health Oceanside Family Medicine Shallotte512 Village Road Suite 205, Shallotte, NC 28470
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1062025

Novant Health Oceanside Family Medicine & Convenient Care · Shallotte, NC
Active · expires Mar 30, 2027
CLIA Number34D1062025
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorChristopher B. Isenhour
Laboratory Phone(910) 754-4441
Laboratory LocationNovant Health Oceanside Family Medicine & Convenient Care5145 Sellers Rd, Shallotte, NC 28470
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 4

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

JADA MCGIRT BUTLER FNP
Nurse Practitioner
512 VILLAGE RD STE 205
SHALLOTTE, NC 28470
Brunswick County (910) 754-4441
DR. KEVIN DAVID PRICE DO
Internal Medicine
512 VILLAGE RD STE 205
SHALLOTTE, NC 28470
Brunswick County (910) 754-4441
MARIE MCMILLAN WHEATLEY FNP-C
Nurse Practitioner
512 VILLAGE RD STE 205
SHALLOTTE, NC 28470
Brunswick County (910) 754-4441
DR. DEMETRIOS HERODOTOU MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
512 VILLAGE RD STE 205
SHALLOTTE, NC 28470
Brunswick County (910) 721-4230

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 1609528215. It was assigned to this organization in the NPPES registry on January 25, 2022. The provider is doing business as Novant Health Oceanside Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 512 Village Rd Ste 205, Shallotte, NC 28470. The listed phone number is (910) 754-4441.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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.