NOVANT HEALTH PRIMARY CARE POPLAR TENT
NPI 1801362660
Family Medicine in Concord, NC

Active since October 19, 2018CLIA 34D2166276 · Waiver
9955 POPLAR TENT RD, CONCORD, NC 28027(704) 316-1161(704) 316-1162 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, Jul 11, 2023, Aug 16, 2021 and 3 more (6 updates tracked since 2018).

About Novant Health Primary Care Poplar Tent NPPES

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

NOVANT HEALTH PRIMARY CARE POPLAR TENT (NPI 1801362660) is a healthcare organization registered as a family medicine in Concord, North Carolina and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1801362660
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address9955 POPLAR TENT RDConcord, NC 28027-9314
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Fax(704) 316-1162
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 19, 2018
Last NPPES UpdateJuly 9, 20246 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1801362660 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.
9955 POPLAR TENT RD, Concord, NC 28027

Other Names 1

Doing Business AsNovant Health Primary Care Poplar Tent

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

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 34D2166276

Novant Health Primary Care Poplar Tent · Concord, NC
Active · expires Aug 31, 2027
CLIA Number34D2166276
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorMichelle G. Festa
Laboratory Phone(704) 316-1161
Laboratory LocationNovant Health Primary Care Poplar Tent9955 Poplar Tent Road, Concord, NC 28027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
9955 POPLAR TENT RD
CONCORD, NC 28027
Nurse Practitioner
9955 POPLAR TENT RD
CONCORD, NC 28027
Physician Assistant
9955 POPLAR TENT RD
CONCORD, NC 28027
Nurse Practitioner
9955 POPLAR TENT RD
CONCORD, NC 28027
Internal Medicine
9955 POPLAR TENT RD
CONCORD, NC 28027
Nurse Practitioner
9955 POPLAR TENT RD
CONCORD, NC 28027
Obstetrics & Gynecology
9955 POPLAR TENT RD
CONCORD, NC 28027
Physician Assistant
9955 POPLAR TENT RD
CONCORD, NC 28027

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 1801362660. It was assigned to this organization in the NPPES registry on October 19, 2018. The provider is doing business as Novant Health Primary Care Poplar Tent.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 9955 Poplar Tent Rd, Concord, NC 28027. The listed phone number is (704) 316-1161.

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 34D2166276) is associated with this NPI, valid through August 31, 2027. 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.