NOVANT HEALTH MEDICAL GROUP, LLC
NPI 1760712038
Family Medicine in Gastonia, NC

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

The NPI number for Novant Health Medical Group, LLC is 1760712038. It was assigned to this organization in the NPPES registry on January 8, 2010. The provider is doing business as Novant Health Family Medicine Gastonia. The provider was formerly known as Novant Health Family Physicians Gastonia.

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

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

Active since January 08, 2010CLIA 34D0874133 · Microscopy

885 SUMMIT CROSSING PL, GASTONIA, NC 28054(704) 316-4979(704) 316-4978 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jan 3, 2024, Jul 10, 2023 and 1 more (4 updates tracked since 2021).

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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 1760712038), doing business as Novant Health Family Physicians Gastonia, is a healthcare organization registered as a family medicine in Gastonia, North Carolina and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through April 12, 2028, maintains a secondary practice location in Gastonia, and lists Leea Jeanine Walton, Edi Manager, as its authorized official.

NPPES Registry Identity

NPI1760712038

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address885 SUMMIT CROSSING PLGastonia, NC 28054-2193

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840

Phone(704) 316-4979

Fax(704) 316-4978

Organization SubpartNo

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

Enumeration DateJanuary 8, 2010

Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1760712038 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.

885 SUMMIT CROSSING PL, Gastonia, NC 28054

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Other Names 2

Former Legal Business NameNovant Health Family Physicians Gastonia

Doing Business AsNovant Health Family Medicine Gastonia

Secondary Practice Location 1

Location 12290 Remount RdGastonia, NC 28054-4725 · Phone (704) 853-3627 · Fax (704) 853-3500

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0874133

Novant Health Family Medicine Gastonia · Gastonia, NC

Active · expires Apr 12, 2028

CLIA Number34D0874133

Laboratory TypePhysician Office

Certificate Effective DateApril 13, 2026

Certificate Expiration DateApril 12, 2028

Laboratory DirectorKenneth P. Edel

Laboratory Phone(704) 316-4979

Laboratory LocationNovant Health Family Medicine Gastonia885 Summit Crossing Pl, Gastonia, NC 28054

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

NOVANT HEALTH MEDICAL GROUP, LLC

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