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NOVANT HEALTH RANDOLPH FAMILY MEDICINE
NPI 1801827324
Family Medicine in Charlotte, NC

Active since July 05, 2006CLIA 34D0878721 · Certificate of Compliance
1918 RANDOLPH RD, SUITE 275, CHARLOTTE, NC 28207(704) 384-1354(704) 384-1374 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Randolph Family Medicine NPPES

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

NOVANT HEALTH RANDOLPH FAMILY MEDICINE (NPI 1801827324) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 19, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1801827324
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1918 RANDOLPH RD, SUITE 275Charlotte, NC 28207-1109
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1354 · Fax (704) 384-1374
Phone(704) 384-1354
Fax(704) 384-1374
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1801827324 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.
1918 RANDOLPH RD, Charlotte, NC 28207
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Other Names 1

Doing Business AsNovant Health Randolph Family Medicine

Other Identifiers 4

OtherCC5118NC · Railroad Medicare
MedicaidNPB161SC
Medicaid89015FFNC
Other0109UNC · 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, Cigna Healthcare.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 Randolph Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Randolph Family Medicine, which bills Medicare for the services they deliver. Of these, 75 practice at this address and 871 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Thamrah Adebimpe, M.D.
Family Practice
NPI 1013177138
1918 RANDOLPH RD STE 275
Charlotte, NC 28207
(704) 384-1354
✔ PECOS✔ Accepts MedicareSame address
Rebecca Almquist, MD
Obstetrics/Gynecology
NPI 1225514557
1918 RANDOLPH RD STE 670
Charlotte, NC 28207
(704) 384-1620
✔ PECOS✔ Accepts MedicareSame address
Deepti Athavale, MD
Internal Medicine
NPI 1942939822
1918 RANDOLPH RD STE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Leah Blum, APRN-CNP
Nurse Practitioner
NPI 1023686185
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Charles Bregier, MD
Emergency Medicine
NPI 1952394785
1918 RANDOLPH RD SUITE 175
Charlotte, NC 28207
(704) 316-1050
✔ PECOSSame address
Matthew Brothers, M.D.
Pediatric Medicine
NPI 1639339450
1918 RANDOLPH RD STE 700
Charlotte, NC 28207
(704) 316-1220
✔ PECOSSame address
Lisa Cannada, MD
Orthopedic Surgery
NPI 1205895513
1918 RANDOLPH RD STE 130
Charlotte, NC 28207
(704) 316-6005
✔ PECOS✔ Accepts MedicareSame address
Joseph Chipman, MD
Neurology
NPI 1871756759
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOSSame address
Adva Eisenberg, MD
Endocrinology
NPI 1760724983
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Mary Gillis, PH.D.
Clinical Psychologist
NPI 1245630854
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOS✔ Accepts MedicareSame address
Sarah Higgins, M.D.
Gastroenterology
NPI 1649622309
1918 RANDOLPH RD STE 210
Charlotte, NC 28207
(704) 316-5060
✔ PECOSSame address
Oliver Jervis, M.D.
Pulmonary Disease
NPI 1770542193
1918 RANDOLPH RD STE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Amar Panchal, M.D.
Critical Care (Intensivists)
NPI 1740506450
1918 RANDOLPH RD STE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Kristin Harvey, LDN
Registered Dietitian or Nutrition Professional
NPI 1801602875
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ Accepts MedicareSame address
Michelle Stowe, M.D.
Hospitalist
NPI 1679525471
108 PROVIDENCE RD
Charlotte, NC 28207
(336) 481-8655
✔ PECOS✔ Accepts MedicareSame address
Tracey Beaty, LCMHC
Mental Health Counselor
NPI 1215593777
1900 RANDOLPH RD STE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOS✔ Accepts MedicareSame address
Hoo Choo, MD
Infectious Disease
NPI 1093009698
1900 RANDOLPH RD STE 216
Charlotte, NC 28207
(704) 316-5330
✔ PECOS✔ Accepts MedicareSame address
Michael Christo, M.D.
Psychiatry
NPI 1609019322
1900 RANDOLPH RD SUITE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOS✔ Accepts MedicareSame address
Cassandra Lajeunesse
Clinical Social Worker
NPI 1194308551
1900 RANDOLPH RD STE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOSSame address
Lili Poon, DO
Sleep Medicine
NPI 1376753061
1900 RANDOLPH RD STE 1010
Charlotte, NC 28207
(704) 316-1062
✔ PECOSSame address
See all 2,991 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 Compliance 34D0878721

Novant Health Randolph Family Medicine · Charlotte, NC
Active · expires Dec 19, 2027
CLIA Number34D0878721
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorThamrah Wright
Laboratory Phone(704) 384-1354
Laboratory LocationNovant Health Randolph Family Medicine1918 Randolph Road, Suite 275, Charlotte, NC 28207
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.

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 1801827324. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Novant Health Randolph Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1918 Randolph Rd Suite 275, Charlotte, NC 28207. The listed phone number is (704) 384-1354.

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), 2,991 clinicians in 63 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 Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 75 practice at this address and 871 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 Compliance (number 34D0878721) is associated with this NPI, valid through December 19, 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 and Cigna Healthcare 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.