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: October 25, 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

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 Primary Care Poplar Tent is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Novant Health Primary Care Poplar Tent, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice38
Nurse Practitioner20
Internal Medicine9
Pediatric Medicine6
Hospitalist3
Geriatric Medicine2
Obstetrics/Gynecology2
Certified Nurse Midwife (CNM)1
2 other specialties2

Nearest to this location (20)

See all 83
Family Practice
NPI 1881801959
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982447306
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679662712
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOSSame address
Family Practice
NPI 1417037300
6909 PROSPERITY CHURCH RD
Huntersville, NC 28078
(704) 384-1425
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1184604159
5370 RIDGE RD
Charlotte, NC 28269
(704) 316-1491
✔ PECOS4.0 mi
Internal Medicine
NPI 1831540269
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1083733273
7752 GATEWAY LN NW SUITE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1982771176
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1881608248
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1013473438
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1679884803
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1083121776
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1962472415
5325 VINNING ST NW SUITE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1518361021
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1700312279
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1215916119
14330 OAKHILL PARK LN SUITE 200-B
Huntersville, NC 28078
(704) 316-1265
✔ PECOS✔ Accepts Medicare6.5 mi
Family Practice
NPI 1659359941
9930 KINCEY AVE STE 210
Huntersville, NC 28078
(704) 316-5560
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1871920686
9930 KINCEY AVE STE 210
Huntersville, NC 28078
(704) 316-5560
✔ PECOS✔ Accepts Medicare6.6 mi
Pediatric Medicine
NPI 1164659322
16525 HOLLY CREST LN STE 150
Huntersville, NC 28078
(704) 384-8720
✔ PECOS✔ Accepts Medicare6.9 mi
Pediatric Medicine
NPI 1639557481
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOS7.0 mi
See all 83 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 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 Rd, 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.

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.

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), 83 clinicians in 10 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 Family Practice (38), Nurse Practitioner (20) and Internal Medicine (9). Of these, 3 practice at this address and 27 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 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.