NOVANT HEALTH VILLAGE FAMILY CARE
NPI 1659571768
Family Medicine in Wake Forest, NC

Active since July 18, 2007CLIA 34D0963954 · Certificate of Compliance
3213 ROGERS ROAD, WAKE FOREST, NC 27587(919) 562-2288(919) 562-2225 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Village Family Care NPPES

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

NOVANT HEALTH VILLAGE FAMILY CARE (NPI 1659571768) is a healthcare organization registered as a family medicine in Wake Forest, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1659571768
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address3213 ROGERS ROADWake Forest, NC 27587-3805
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (919) 562-2288
Fax(919) 562-2225
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJuly 18, 2007
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1659571768 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.
3213 ROGERS ROAD, Wake Forest, NC 27587

Other Names 1

Doing Business AsNovant Health Village Family Care

Other Identifiers 2

Medicaid5907996NC
Other020E0NC · Bcbs

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 Compliance 34D0963954

Novant Health Village Family Care - Wake Forest · Wake Forest, NC
Active · expires Dec 31, 2027
CLIA Number34D0963954
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorThomas Weber
Laboratory Phone(919) 562-2288
Laboratory LocationNovant Health Village Family Care - Wake Forest3213 Rogers Road, Wake Forest, NC 27587
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.

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 1659571768. It was assigned to this organization in the NPPES registry on July 18, 2007. The provider is doing business as Novant Health Village Family Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 3213 Rogers Road, Wake Forest, NC 27587. The listed phone number is (919) 562-2288.

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 34D0963954) is associated with this NPI, valid through December 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 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.