NOVANT HEALTH COTSWOLD MEDICAL CLINIC - NPI 1740236702

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1740236702. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Novant Health Cotswold Medical Clinic.

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

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

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About Novant Health Cotswold Medical Clinic NPPES

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

NOVANT HEALTH COTSWOLD MEDICAL CLINIC (NPI 1740236702) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 18, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1740236702

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address200 GREENWICH RDCharlotte, NC 28211-2316

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7603 · Fax (704) 417-4479

Phone(704) 384-8680

Fax(704) 384-8684

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateMay 25, 2006

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1740236702 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.

200 GREENWICH RD, Charlotte, NC 28211

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Other Names 1

Doing Business AsNovant Health Cotswold Medical Clinic

Other Identifiers 3

Medicaid890271VNC

OtherCC5118NC · Railroad Medicare

Other0271VNC · Bcbs-nc

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 Compliance 34D0244439

Novant Health Cotswold Medical Clinic · Charlotte, NC

Active · expires Oct 18, 2027

CLIA Number34D0244439

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2025

Certificate Expiration DateOctober 18, 2027

Laboratory DirectorLori Taylor

Laboratory Phone(704) 384-8680

Laboratory LocationNovant Health Cotswold Medical Clinic200 Greenwich Road, Charlotte, NC 28211

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

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

ELLEN ASENATH GREEAR NP-C

Nurse Practitioner