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NOVANT HEALTH UROLOGY
NPI 1629720453
Urology in Clemmons, NC

Active since January 24, 2022CLIA 34D2254397 · Microscopy
7210 VILLAGE MEDICAL CIR STE 225, CLEMMONS, NC 27012(336) 245-2100 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Jul 12, 2023, Jan 24, 2022 (3 updates tracked since 2022).

About Novant Health Urology NPPES

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

NOVANT HEALTH UROLOGY (NPI 1629720453) is a healthcare organization registered as an urology in Clemmons, North Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Microscopy certificate valid through March 2, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1629720453
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address7210 VILLAGE MEDICAL CIR STE 225Clemmons, NC 27012-8035
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 245-2100
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJanuary 24, 2022
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1629720453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7210 VILLAGE MEDICAL CIR STE 225, Clemmons, NC 27012
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Other Names 1

Doing Business AsNovant Health Urology

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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2254397

Novant Health Urology-Clemmons · Clemmons, NC
Active · expires Mar 2, 2028
CLIA Number34D2254397
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorErnest F. Mcphail
Laboratory Phone(336) 893-3080
Laboratory LocationNovant Health Urology-Clemmons7210 Village Medical Circle, Suite 225, Clemmons, NC 27012
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

ERNEST FREDERICK MCPHAIL III MD
Urology
7210 VILLAGE MEDICAL CIR STE 225
CLEMMONS, NC 27012
Forsyth County (336) 893-3080
SHERRY HENNING
Nurse Practitioner
7210 VILLAGE MEDICAL CIR STE 225
CLEMMONS, NC 27012
Forsyth County (336) 893-3080
ALEXA JAY AMIN PA
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 225
CLEMMONS, NC 27012
Forsyth County (336) 893-3080

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 1629720453. It was assigned to this organization in the NPPES registry on January 24, 2022. The provider is doing business as Novant Health Urology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 7210 Village Medical Cir Ste 225, Clemmons, NC 27012. The listed phone number is (336) 245-2100.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2254397) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on June 21, 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.