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

Active since January 25, 2022CLIA Certified · 3 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: November 01, 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 3 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
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

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

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 Oceanside Family Medicine 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 Oceanside Family Medicine, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 74 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
Nurse Practitioner
NPI 1194422329
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1295772341
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497807986
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619343803
512 VILLAGE RD STE 104
Shallotte, NC 28470
(910) 721-4200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1518921642
512 VILLAGE RD STE 104
Shallotte, NC 28470
(910) 721-4200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1093947913
512 VILLAGE RD STE 104
Shallotte, NC 28470
(910) 721-4200
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1578551875
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 721-4230
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073083119
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518295559
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669244794
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265174544
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1669460374
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306081468
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205804739
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053702076
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750702072
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427343730
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1356336457
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639167455
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619271681
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 34D2350133

Novant Health Oceanside Family Medicine & Imaging- Shallotte · Shallotte, NC
Active · expires Sep 2, 2028
CLIA Number34D2350133
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateSeptember 2, 2028
Laboratory DirectorJarrod Sheatsley
Laboratory Phone(910) 754-4441
Laboratory LocationNovant Health Oceanside Family Medicine & Imaging- Shallotte512 Village Road SW, Shallotte, NC 28470
CLIA data matches this NPI record on: 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.

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.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 7 practice at this address and 74 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 3 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.

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.