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NOVANT HEALTH MEDICAL GROUP, LLC
NPI 1720897077
Family Medicine in Clemmons, NC

Active since January 02, 2025
4136 CLEMMONS RD, CLEMMONS, NC 27012(980) 302-9315 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Novant Health Medical Group, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC (NPI 1720897077), doing business as Novant Health Extended Care, is a healthcare organization registered as a family medicine in Clemmons, North Carolina and active in the NPI registry since January 2025. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1720897077
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 · (980) 302-9315
Phone(980) 302-9315
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1720897077 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
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Other Names 1

Doing Business AsNovant Health 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 Medical Group, Llc 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 Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 591 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
Renee Haynes, FNP-C
Nurse Practitioner
NPI 1477994507
4136 CLEMMONS RD
Clemmons, NC 27012
(336) 893-1300
✔ PECOS✔ Accepts MedicareSame address
Rhonda Dixon, WHNP
Nurse Practitioner
NPI 1154446888
4130 CLEMMONS RD
Clemmons, NC 27012
(336) 765-5470
✔ PECOS✔ Accepts MedicareSame address
Travis Howell, M.D.
Family Practice
NPI 1346208113
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare0.6 mi
David Lee, M.D.
Family Practice
NPI 1578511911
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Joshua Mckinnon, M.D.
Hospitalist
NPI 1801114343
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Anna Norman, FNP-C
Nurse Practitioner
NPI 1649605841
7130 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Bradley Clark, MD
Cardiovascular Disease (Cardiology)
NPI 1639431307
7114 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2440
✔ PECOS✔ Accepts Medicare0.6 mi
Un Ju Kim
Cardiovascular Disease (Cardiology)
NPI 1447543632
7114 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2440
✔ PECOS✔ Accepts Medicare0.6 mi
Daniel Pierce
Orthopedic Surgery
NPI 1932562154
7210 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare0.7 mi
Charles Craven, M.D.
Orthopedic Surgery
NPI 1508824491
7210 VILLAGE MEDICAL CIR STE 110
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare0.7 mi
Richard Huettemann, MD
Colorectal Surgery (Proctology)
NPI 1255824041
7210 VILLAGE MEDICAL CIR STE 310
Clemmons, NC 27012
(336) 277-4075
✔ PECOS✔ Accepts Medicare0.7 mi
Louis Mcintyre, M.D.
Orthopedic Surgery
NPI 1699789347
7210 VILLAGE MEDICAL CIR STE 110
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare0.7 mi
Ernest Mcphail, MD
Urology
NPI 1174644314
7210 VILLAGE MEDICAL CIR STE 225
Clemmons, NC 27012
(336) 893-3080
✔ PECOS✔ Accepts Medicare0.7 mi
Nicolas Robinson, M.D.
Colorectal Surgery (Proctology)
NPI 1750416491
7210 VILLAGE MEDICAL CIR STE 310
Clemmons, NC 27012
(336) 277-4075
✔ PECOS✔ Accepts Medicare0.7 mi
Stuart Saunders, M.D.
Orthopedic Surgery
NPI 1841510674
7210 VILLAGE MEDICAL CIR STE 110
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare0.7 mi
Matthew Spivey, MD
Orthopedic Surgery
NPI 1619331873
7210 VILLAGE MEDICAL CIR STE 110
Clemmons, NC 27012
(336) 893-2400
✔ PECOS✔ Accepts Medicare0.7 mi
Erin Kelly, NP
Nurse Practitioner
NPI 1801964697
6915 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 893-1527
✔ PECOS✔ Accepts Medicare0.8 mi
Chase Bennett, MD
Orthopedic Surgery
NPI 1821354705
152 E KINDERTON WAY STE 101
Advance, NC 27006
(704) 384-7834
✔ PECOS✔ Accepts Medicare1.1 mi
Janis Buono, FNP-C
Nurse Practitioner
NPI 1811567662
152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
(336) 893-3210
✔ PECOS✔ Accepts Medicare1.1 mi
Kent Cochran
Anesthesiology
NPI 1326466574
152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
(336) 893-3210
✔ PECOS✔ Accepts Medicare1.1 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.

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 1720897077. It was assigned to this organization in the NPPES registry on January 2, 2025. The provider is doing business as Novant Health Extended Care.

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 (980) 302-9315.

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 591 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.