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NOVANT HEALTH WINSTON SALEM GYNECOLOGY
NPI 1669879565
Obstetrics & Gynecology in Winston Salem, NC

Active since November 21, 2014CLIA 34D0985105 · Microscopy
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103(336) 774-9000(336) 774-9012 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Jul 12, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Winston Salem Gynecology NPPES

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

NOVANT HEALTH WINSTON SALEM GYNECOLOGY (NPI 1669879565) is a healthcare organization registered as an obstetrics & gynecology in Winston Salem, North Carolina and active in the NPI registry since November 2014. The organization holds a CLIA Microscopy certificate valid through December 7, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1669879565
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address201 EXECUTIVE PARK BLVDWinston Salem, NC 27103-1503
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 774-9000 · Fax (336) 774-9012
Phone(336) 774-9000
Fax(336) 774-9012
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 21, 2014
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1669879565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
201 EXECUTIVE PARK BLVD, Winston Salem, NC 27103
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Other Names 1

Doing Business AsNovant Health Winston Salem Gynecology

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0985105

Novant Health Winston - Salem Gynecology · Winston-Salem, NC
Active · expires Dec 7, 2026
CLIA Number34D0985105
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorBeth L. Holthusen
Laboratory Phone(336) 774-9000
Laboratory LocationNovant Health Winston - Salem Gynecology201 Executive Park Boulevard, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

D R BLAND MD PA
Obstetrics & Gynecology (Gynecology)
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
DR. LINN HAYNES PARSONS MD
Obstetrics & Gynecology (Gynecology)
201 EXECUTIVE PARK BLVD
WINSTON-SALEM, NC 27103
Forsyth County (336) 774-9000
NOVANT MEDICAL GROUP INC
Internal Medicine
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
DR. ANTOINETTE WYMER MD
Internal Medicine
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
DR. DEIRDRE HERRINGTON MD
Internal Medicine
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
BETH L. HOLTHUSEN PA
Physician Assistant
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
DR. DEIRDRE R BLAND MD
Obstetrics & Gynecology
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000
DR. LYNN BIVINS ANDERSON MD
Obstetrics & Gynecology
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 774-9000

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 1669879565. It was assigned to this organization in the NPPES registry on November 21, 2014. The provider is doing business as Novant Health Winston Salem Gynecology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 201 Executive Park Blvd, Winston Salem, NC 27103. The listed phone number is (336) 774-9000.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0985105) is associated with this NPI, valid through December 7, 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 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 June 21, 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.