NOVANT HEALTH SPINE SPECIALISTS
NPI 1619524097
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Greensboro, NC

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

The NPI number for Novant Health Medical Group, LLC is 1619524097. It was assigned to this organization in the NPPES registry on August 21, 2019. The provider is doing business as Novant Health Spine Specialists.

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

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since August 21, 2019CLIA 34D2210838 · Waiver

3515 W MARKET ST STE 210, GREENSBORO, NC 27403(336) 660-5480(336) 660-5499 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2024, Jun 12, 2024, Jul 12, 2023 and 4 more (7 updates tracked since 2019).

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About Novant Health Spine Specialists NPPES

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

NOVANT HEALTH SPINE SPECIALISTS (NPI 1619524097) is a healthcare organization registered as an orthopaedic surgery of the spine in Greensboro, North Carolina and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1619524097

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address3515 W MARKET ST STE 210Greensboro, NC 27403-4442

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 660-5480 · Fax (336) 660-5499

Phone(336) 660-5480

Fax(336) 660-5499

Organization SubpartNo

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

Enumeration DateAugust 21, 2019

Last NPPES UpdateJune 24, 20247 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1619524097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

3515 W MARKET ST STE 210, Greensboro, NC 27403

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Other Names 1

Doing Business AsNovant Health Spine Specialists

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 34D2210838

Novant Health Spine Specialists · Greensboro, NC

Active · expires Jan 24, 2027

CLIA Number34D2210838

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorDavid Otoole

Laboratory Phone(336) 660-5480

Laboratory LocationNovant Health Spine Specialists3515 W Market Street, Suite 210, Greensboro, NC 27403

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

NOVANT HEALTH MEDICAL GROUP, LLC

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