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NOVANT HEALTH SURRY MEDICAL EXTENDED CARE
NPI 1659950053
Family Medicine in Mount Airy, NC

Active since April 05, 2021CLIA 34D2102465 · Certificate of Compliance
2133 ROCKFORD ST STE 1400, MOUNT AIRY, NC 27030(336) 673-6560(336) 719-0494 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 and 2 more (5 updates tracked since 2021).

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, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Surry Medical Extended Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Surry Medical Extended Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Natessa Rutherford, FNP
Nurse Practitioner
NPI 1992290654
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts MedicareSame address
Veronica Brady, FNP
Nurse Practitioner
NPI 1740434554
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts Medicare0.1 mi
Katherine Hooker, FNP
Nurse Practitioner
NPI 1255018131
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts Medicare0.1 mi
Amy Puckett-Lawson, FNP-C
Nurse Practitioner
NPI 1134451206
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 719-0398
✔ PECOS✔ Accepts Medicare0.1 mi
Susan Hines
Medical Oncology
NPI 1619947215
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare0.8 mi
Karin Giordano, M.D.
Medical Oncology
NPI 1356315113
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare0.8 mi
Mallory Grose, ANP-C
Nurse Practitioner
NPI 1093089575
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare3.2 mi
Nathan Mcgeathy, FNP
Nurse Practitioner
NPI 1255786273
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare3.2 mi
Kara Narigon, FNP-BC
Nurse Practitioner
NPI 1578163838
865 WESTLAKE DR STE 200
Mount Airy, NC 27030
(336) 277-0220
✔ PECOS✔ Accepts Medicare3.5 mi
Jennifer Chapman, MD
Family Practice
NPI 1710984927
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Mark Dodd, DO
Family Practice
NPI 1184694630
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Stephanie Garcia, FNP
Nurse Practitioner
NPI 1417669037
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Darrell Garner, LCSW
Clinical Social Worker
NPI 1194795260
865 W LAKE DR
Mount Airy, NC 27030
(336) 786-7199
✔ PECOS✔ Accepts Medicare4.8 mi
Joanne Garner, FNP
Nurse Practitioner
NPI 1982037941
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Heather Hammaker, FNP
Nurse Practitioner
NPI 1952877938
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Gloria King, P-NP
Nurse Practitioner
NPI 1770556144
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS4.8 mi
Nicholas Kipreos, MD
Family Practice
NPI 1104825926
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Carl Ray Rhoden, MD
Family Practice
NPI 1992026579
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Jay Seidler, DO
Family Practice
NPI 1962407254
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Cecil Thoppil, MD
Pediatric Medicine
NPI 1962463257
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS4.8 mi
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St, Ste 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.

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 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.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 2133 Rockford St Ste 1400, Mount Airy, NC 27030. The listed phone number is (336) 673-6560.

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

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

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 1 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Compliance (number 34D2102465) is associated with this NPI, valid through December 5, 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 and Cigna 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 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.