NOVANT HEALTH UNION CROSS FAMILY MEDICINE
NPI 1730630377
Family Medicine in Kernersville, NC

Active since October 19, 2016CLIA 34D2136051 · Waiver
1471 JAG BRANCH BLVD STE 103, KERNERSVILLE, NC 27284(336) 515-7410(336) 515-7419 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 and 4 more (7 updates tracked since 2016).

About Novant Health Union Cross Family Medicine NPPES

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

NOVANT HEALTH UNION CROSS FAMILY MEDICINE (NPI 1730630377) is a healthcare organization registered as a family medicine in Kernersville, North Carolina and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through April 8, 2028, maintains 2 additional practice locations, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1730630377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1471 JAG BRANCH BLVD STE 103Kernersville, NC 27284-6956
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(336) 515-7419
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 19, 2016
Last NPPES UpdateJuly 9, 20247 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1730630377 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.
1471 JAG BRANCH BLVD STE 103, Kernersville, NC 27284

Other Names 1

Doing Business AsNovant Health Union Cross Family Medicine

Secondary Practice Locations 2

Location 13701 Arco Corporate DrCharlotte, NC 28273-0402 · Phone (704) 384-7605
Location 21471 Jag Branch Rd Ste 103Kernersville, NC 27284-6956 · Phone (704) 384-7834

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 Union Cross 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 Union Cross Family Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 172 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
Pediatric Medicine
NPI 1225217094
1471 JAG BRANCH BLVD UNIT 101
Kernersville, NC 27284
(336) 515-7420
✔ PECOSSame address
Nurse Practitioner
NPI 1508321043
1471 JAG BRANCH BLVD STE 103
Kernersville, NC 27284
(336) 515-7410
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1215006192
1471 JAG BRANCH BLVD UNIT 103
Kernersville, NC 27284
(336) 515-7410
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679532212
1471 JAG BRANCH BLVD UNIT 101
Kernersville, NC 27284
(336) 515-7420
✔ PECOSSame address
Nurse Practitioner
NPI 1518580992
4115 CRESTWOOD CIR
Winston Salem, NC 27107
(850) 699-3842
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1639286412
794 S MAIN ST STE B
Kernersville, NC 27284
(336) 904-2317
✔ PECOS✔ Accepts Medicare2.6 mi
Mental Health Counselor
NPI 1538774872
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare3.0 mi
Psychiatry
NPI 1922038322
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare3.0 mi
Orthopedic Surgery
NPI 1508865247
280 BROAD ST STE B SUITE B
Kernersville, NC 27284
(336) 992-2672
✔ PECOS✔ Accepts Medicare3.0 mi
Pediatric Medicine
NPI 1629002910
240 BROAD ST
Kernersville, NC 27284
(336) 993-8333
✔ PECOS3.1 mi
Obstetrics/Gynecology
NPI 1356331409
445 PINEVIEW DR STE 110
Kernersville, NC 27284
(336) 993-4352
✔ PECOS✔ Accepts Medicare3.1 mi
Endocrinology
NPI 1255481180
500 PINEVIEW DR SUITE 101
Kernersville, NC 27284
(336) 992-1351
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1376583245
420 W MOUNTAIN ST
Kernersville, NC 27284
(336) 993-1618
✔ PECOS✔ Accepts Medicare3.4 mi
Medical Oncology
NPI 1306816913
1710 KERNERSVILLE MEDICAL PKWY STE 116
Kernersville, NC 27284
(336) 564-4170
✔ PECOS✔ Accepts Medicare3.5 mi
Cardiovascular Disease (Cardiology)
NPI 1922533512
1710 KERNERSVILLE MEDICAL PKWY STE 205
Kernersville, NC 27284
(336) 996-7076
✔ PECOS✔ Accepts Medicare3.5 mi
Pain Management
NPI 1659329811
1730 KERNERSVILLE MEDICAL PKWY STE 204
Kernersville, NC 27284
(336) 277-4460
✔ PECOS✔ Accepts Medicare3.5 mi
Registered Dietitian or Nutrition Professional
NPI 1619842473
1730 KERNERSVILLE MEDICAL PKWY STE 101
Kernersville, NC 27284
(336) 564-4950
✔ Accepts Medicare3.5 mi
Neurology
NPI 1518303981
1730 KERNERSVILLE MEDICAL PKWY STE 203
Kernersville, NC 27284
(336) 564-4445
✔ PECOS✔ Accepts Medicare3.5 mi
General Surgery
NPI 1780615799
1730 KERNERSVILLE MEDICAL PKWY STE 101
Kernersville, NC 27284
(336) 564-4950
✔ PECOS✔ Accepts Medicare3.5 mi
Neurosurgery
NPI 1750593729
1730 KERNERSVILLE MEDICAL PKWY STE 203
Kernersville, NC 27284
(336) 515-7336
✔ PECOS✔ Accepts Medicare3.5 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 34D2136051

Novant Health Union Cross Family Medicine · Kernersville, NC
Active · expires Apr 8, 2028
CLIA Number34D2136051
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorMishi Jackson
Laboratory Phone(336) 515-7410
Laboratory LocationNovant Health Union Cross Family Medicine1471 Jag Branch Blvd, Unit 103, Kernersville, NC 27284
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 1730630377. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Novant Health Union Cross Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1471 Jag Branch Blvd Ste 103, Kernersville, NC 27284. The listed phone number is (336) 515-7410.

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, 4 practice at this address and 172 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 34D2136051) is associated with this NPI, valid through April 8, 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.