NOVANT HEALTH SURRY MEDICAL EXTENDED CARE - NPI 1659950053

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

The NPI number for Novant Health Medical Group, LLC is 1659950053. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as Novant Health Surry Medical Extended Care.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Novant Health Surry Medical Extended Care NPPES

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

NOVANT HEALTH SURRY MEDICAL EXTENDED CARE (NPI 1659950053) is a healthcare organization registered as a family medicine in Mount Airy, North Carolina and active in the NPI registry since April 2021. The organization holds a CLIA Certificate of Compliance certificate valid through December 5, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1659950053

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address2133 ROCKFORD ST STE 1400Mount Airy, NC 27030-6594

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(336) 673-6560

Fax(336) 719-0494

Organization SubpartNo

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

Enumeration DateApril 5, 2021

Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1659950053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

2133 ROCKFORD ST STE 1400, Mount Airy, NC 27030

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Other Names 1

Doing Business AsNovant Health Surry Medical Extended Care

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 34D2102465

Novant Health Surry Medical Extended Care - Rockford · Mt Airy, NC

Active · expires Dec 5, 2027

CLIA Number34D2102465

Laboratory TypePhysician Office

Certificate Effective DateDecember 6, 2025

Certificate Expiration DateDecember 5, 2027

Laboratory DirectorJennifer H. Chapman

Laboratory Phone(336) 673-6560

Laboratory LocationNovant Health Surry Medical Extended Care - Rockford2133 Rockford Street, Suite 1400, Mt Airy, NC 27030

CLIA data matches this NPI record on: 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 7

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

AMY LEIGH PUCKETT-LAWSON FNP-C

Nurse Practitioner