NOVANT HEALTH MEDICAL GROUP, LLC
NPI 1649227083
Family Medicine in Rock Hill, SC

Active since May 30, 2006CLIA 42D0253545 · Waiver
1435 EBENEZER RD, ROCK HILL, SC 29732(803) 328-3828(803) 328-3879 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Novant Health Medical Group, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC (NPI 1649227083), doing business as Novant Health Rock Hill Family Medicine, is a healthcare organization registered as a family medicine in Rock Hill, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 4, 2026 and lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1649227083
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1435 EBENEZER RDRock Hill, SC 29732-2338
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (803) 328-3828
Fax(803) 328-3879
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1649227083 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.

1435 EBENEZER RD, Rock Hill, SC 29732

Other Names 1

Doing Business AsNovant Health Rock Hill Family Medicine

Other Identifiers 1

MedicaidPA1792SC

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

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 42D0253545

Novant Health Rock Hill Family Medicine · Rock Hill, SC
Active · expires Sep 4, 2026
CLIA Number42D0253545
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorErika Allison
Laboratory Phone(803) 328-3828
Laboratory LocationNovant Health Rock Hill Family Medicine2960 Celanese Road, Rock Hill, SC 29732
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.

Family Medicine
1435 EBENEZER RD
ROCK HILL, SC 29732
Family Medicine
1435 EBENEZER RD
ROCK HILL, SC 29732
Family Medicine
1435 EBENEZER RD
ROCK HILL, SC 29732
Family Medicine
1435 EBENEZER RD
ROCK HILL, SC 29732

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 1649227083. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Novant Health Rock Hill Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1435 Ebenezer Rd, Rock Hill, SC 29732. The listed phone number is (803) 328-3828.

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 Waiver (number 42D0253545) is associated with this NPI, valid through September 4, 2026. 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 Molina Healthcare 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 June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.