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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: August 16, 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
Phone(336) 515-7410
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
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Other Names 1

Doing Business AsNovant Health Union Cross Family Medicine

Secondary Practice Locations 2

Location 11471 Jag Branch Rd Ste 103Kernersville, NC 27284-6956 · Phone (704) 384-7834
Location 23701 Arco Corporate DrCharlotte, NC 28273-0402 · Phone (704) 384-7605

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.Insurance ›

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 Bolevard, Suite 103, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. MARISSA GAITHER HITE FNP-C
Nurse Practitioner
1471 JAG BRANCH BLVD STE 103
KERNERSVILLE, NC 27284
Forsyth County (336) 515-7410

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.

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.