NOVANT HEALTH RURAL HALL FAMILY MEDICINE
NPI 1720433634
Family Medicine in Rural Hall, NC

Active since April 28, 2016CLIA 34D2076791 · Waiver
290 W WALL ST, RURAL HALL, NC 27045(336) 969-9158 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 and 1 more (4 updates tracked since 2016).

About Novant Health Rural Hall Family Medicine NPPES

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

NOVANT HEALTH RURAL HALL FAMILY MEDICINE (NPI 1720433634) is a healthcare organization registered as a family medicine in Rural Hall, North Carolina and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1720433634
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address290 W WALL STRural Hall, NC 27045-9308
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateApril 28, 2016
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1720433634 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.
290 W WALL ST, Rural Hall, NC 27045

Other Names 1

Doing Business AsNovant Health Rural Hall Family Medicine

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 Rural Hall Family Medicine 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 Rural Hall Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 225 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
Nurse Practitioner
NPI 1093541195
290 W WALL ST
Rural Hall, NC 27045
(336) 969-9158
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336138809
290 W WALL ST
Rural Hall, NC 27045
(336) 969-9158
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023802790
648 ALMONDRIDGE DR
Rural Hall, NC 27045
(336) 277-1717
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1376551911
531 NORTHRIDGE PARK DR
Rural Hall, NC 27045
(336) 519-6445
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1255789673
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1750690285
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1356575211
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1144678764
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1235612813
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1033212287
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1659487981
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1124389796
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1760454474
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1699416073
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1639523327
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1538489679
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1316794845
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1710953252
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1437736311
216 MOORE RD
King, NC 27021
(336) 983-4346
✔ PECOS✔ Accepts Medicare4.3 mi
Pediatric Medicine
NPI 1598925166
167 MOORE RD STE 201
King, NC 27021
(336) 673-6470
✔ PECOS4.5 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 Waiver 34D2076791

Novant Health Rural Hall Family Medicine · Rural Hall, NC
Active · expires Apr 24, 2028
CLIA Number34D2076791
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorKevin E. Johnson
Laboratory Phone(336) 969-9158
Laboratory LocationNovant Health Rural Hall Family Medicine290 W Wall Street, Rural Hall, NC 27045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 1720433634. It was assigned to this organization in the NPPES registry on April 28, 2016. The provider is doing business as Novant Health Rural Hall Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 290 W Wall St, Rural Hall, NC 27045. The listed phone number is (336) 969-9158.

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, 2 practice at this address and 225 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 Waiver (number 34D2076791) is associated with this NPI, valid through April 24, 2028. 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 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.