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NOVANT HEALTH DIABETES MANAGEMENT
NPI 1811679889
Internal Medicine in Winston-salem, NC

Active since August 01, 2023CLIA Certified · 2 labs
114 WEST 30ST STREET, STE. 800, WINSTON-SALEM, NC 27105(336) 718-7500(336) 659-8904 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Novant Health Diabetes Management NPPES

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

NOVANT HEALTH DIABETES MANAGEMENT (NPI 1811679889) is a healthcare organization registered as an internal medicine in Winston-salem, North Carolina and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1811679889
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address114 WEST 30ST STREET, STE. 800Winston-salem, NC 27105
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-7500 · Fax (336) 659-8904
Phone(336) 718-7500
Fax(336) 659-8904
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateAugust 1, 2023
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1811679889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
114 WEST 30ST STREET, Winston-salem, NC 27105
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Other Names 1

Doing Business AsNovant Health Diabetes Management

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 2

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 34D2287366

Novant Health Diabetes Management · Winston-Salem, NC
Active · expires Aug 13, 2027
CLIA Number34D2287366
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorSelby G. Rouch
Laboratory Phone(336) 718-7500
Laboratory LocationNovant Health Diabetes Management114 West 30th Street, Suite 800, Winston-Salem, NC 27105
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2122367

Novant Health Diabetes Management · Winston-Salem, NC
Active · expires Nov 27, 2026
CLIA Number34D2122367
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorSelby G. Rouch
Laboratory Phone(336) 718-7500
Laboratory LocationNovant Health Diabetes Management1400 Westgate Center Drive, Suite 130, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine
114 WEST 30ST STREET, SUITE 800
WINSTON-SALEM, NC 27105
Forsyth County (336) 277-1660

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 1811679889. It was assigned to this organization in the NPPES registry on August 1, 2023. The provider is doing business as Novant Health Diabetes Management.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 114 West 30st Street Ste. 800, Winston-Salem, NC 27105. The listed phone number is (336) 718-7500.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Novant Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 10, 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.