NOVANT HEALTH ADULT PRIMARY CARE TANGLEWOOD
NPI 1710547369
Family Medicine in Clemmons, NC

Active since June 17, 2019
4136 CLEMMONS RD, CLEMMONS, NC 27012(336) 893-3270(336) 893-3279 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Jul 10, 2023, Aug 16, 2021 and 1 more (4 updates tracked since 2019).

About Novant Health Adult Primary Care Tanglewood NPPES

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

NOVANT HEALTH ADULT PRIMARY CARE TANGLEWOOD (NPI 1710547369) is a healthcare organization registered as a family medicine in Clemmons, North Carolina and active in the NPI registry since June 2019. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1710547369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address4136 CLEMMONS RDClemmons, NC 27012-7520
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(336) 893-3279
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 17, 2019
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1710547369 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.
4136 CLEMMONS RD, Clemmons, NC 27012

Other Names 1

Doing Business AsNovant Health Adult Primary Care Tanglewood

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

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4136 CLEMMONS RD
CLEMMONS, NC 27012
Physician Assistant (Medical)
4136 CLEMMONS RD
CLEMMONS, NC 27012
Family Medicine
4136 CLEMMONS RD
CLEMMONS, NC 27012
Family Medicine
4136 CLEMMONS RD
CLEMMONS, NC 27012
Internal Medicine
4136 CLEMMONS RD
CLEMMONS, NC 27012

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 1710547369. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is doing business as Novant Health Adult Primary Care Tanglewood.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 4136 Clemmons Rd, Clemmons, NC 27012. The listed phone number is (336) 893-3270.

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

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

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on July 8, 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.