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NOVANT HEALTH WILKES MEDICAL ASSOCIATES
NPI 1629790589
Family Medicine in North Wilkesboro, NC

Active since September 16, 2022CLIA 34D0870131 · Certificate of Compliance
1919 W PARK DR, NORTH WILKESBORO, NC 28659(336) 651-2980(336) 667-2047 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Sep 16, 2022 (3 updates tracked since 2022).

About Novant Health Wilkes Medical Associates NPPES

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

NOVANT HEALTH WILKES MEDICAL ASSOCIATES (NPI 1629790589) is a healthcare organization registered as a family medicine in North Wilkesboro, North Carolina and active in the NPI registry since September 2022. The organization holds a CLIA Certificate of Compliance certificate valid through May 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1629790589
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1919 W PARK DRNorth Wilkesboro, NC 28659-3564
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 651-2980
Fax(336) 667-2047
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateSeptember 16, 2022
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1629790589 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.

1919 W PARK DR, North Wilkesboro, NC 28659
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Other Names 1

Doing Business AsNovant Health Wilkes Medical Associates

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 Compliance 34D0870131

Novant Health Wilkes Medical Associates · North Wilkesboro, NC
Active · expires May 31, 2027
CLIA Number34D0870131
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorJoel E. Swofford
Laboratory Phone(336) 651-2980
Laboratory LocationNovant Health Wilkes Medical Associates1919 West Park Drive, North Wilkesboro, NC 28659
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 16

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

JEFFREY DERICK MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DR. LAURALEE WILSON MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. SANDRA K. BAKER MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
KENNY DEWAYNE HEFNER MD
Internal Medicine
1919 W PARK DR
N WILKESBORO, NC 28659
Wilkes County (336) 651-2980
JOEL H. SWOFFORD MD
Family Medicine
1919 W PARK DR
N WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. TRACEY ELLEDGE SHEETS FNP-C
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DEANNA DILLON
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. ASHLEY ANNA SHELL
Physician Assistant
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980

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 1629790589. It was assigned to this organization in the NPPES registry on September 16, 2022. The provider is doing business as Novant Health Wilkes Medical Associates.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1919 W Park Dr, North Wilkesboro, NC 28659. The listed phone number is (336) 651-2980.

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 a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0870131) is associated with this NPI, valid through May 31, 2027. 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 July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.