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: October 25, 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
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

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

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 Winston Salem Gynecology 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 Winston Salem Gynecology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 620 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
Obstetrics/Gynecology
NPI 1538159967
201 EXECUTIVE PARK BLVD
Winston Salem, NC 27103
(336) 774-9000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1740384056
201 EXECUTIVE PARK BLVD
Winston Salem, NC 27103
(336) 774-9000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992011423
160 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 768-5834
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1407144405
245 CHARLOIS BLVD STE C
Winston Salem, NC 27103
(336) 718-6280
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1285693242
245 CHARLOIS BLVD
Winston-salem, NC 27103
(336) 659-4777
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1154941037
140 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 716-4131
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1265607147
114 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 765-5470
0.2 mi
Podiatry
NPI 1508814633
3057 TRENWEST DR
Winston Salem, NC 27103
(336) 765-0710
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1952582967
3000 BETHESDA PL STE 104
Winston Salem, NC 27103
(336) 293-4107
✔ PECOS✔ Accepts Medicare0.5 mi
Pulmonary Disease
NPI 1396978797
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1780863332
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.6 mi
Critical Care (Intensivists)
NPI 1861874539
3001 LYNDHURST AVE
Winston Salem, NC 27103
(336) 765-0383
✔ PECOS✔ Accepts Medicare0.6 mi
Qualified Speech Language Pathologist
NPI 1730741968
1903 S HAWTHORNE RD
Winston Salem, NC 27103
(336) 718-6700
0.6 mi
Hospitalist
NPI 1083317184
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-8383
✔ PECOS✔ Accepts Medicare0.6 mi
Neurology
NPI 1962699892
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7594
✔ PECOS✔ Accepts Medicare0.6 mi
Gynecological Oncology
NPI 1831331495
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 277-8800
✔ PECOS✔ Accepts Medicare0.6 mi
Hospice/Palliative Care
NPI 1598736134
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7041
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1528324985
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-9080
✔ PECOS✔ Accepts Medicare0.6 mi
Hematology/Oncology
NPI 1992979736
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 277-8800
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1124384920
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-8383
✔ PECOS✔ Accepts Medicare0.6 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 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.

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.

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, 2 practice at this address and 620 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 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 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 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.