NOVANT HEALTH CAROLINA SURGICAL
NPI 1821525239
Surgery in Charlotte, NC

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

The NPI number for Novant Health Medical Group, LLC is 1821525239. It was assigned to this organization in the NPPES registry on May 16, 2017. The provider is doing business as Novant Health Carolina Surgical.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 16, 2017

2104 RANDOLPH RD, CHARLOTTE, NC 28207(704) 377-3900(704) 377-1244 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Novant Health Carolina Surgical NPPES

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

NOVANT HEALTH CAROLINA SURGICAL (NPI 1821525239) is a healthcare organization registered as a surgery in Charlotte, North Carolina and active in the NPI registry since May 2017. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1821525239

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address2104 RANDOLPH RDCharlotte, NC 28207-1522

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 377-3900 · Fax (704) 377-1244

Phone(704) 377-3900

Fax(704) 377-1244

Organization SubpartNo

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

Enumeration DateMay 16, 2017

Last NPPES UpdateJune 20, 20244 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1821525239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2104 RANDOLPH RD, Charlotte, NC 28207

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Other Names 1

Doing Business AsNovant Health Carolina Surgical

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 Carolina Surgical 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 Carolina Surgical, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 906 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

Ilan Avin, MD

General Surgery

NPI 1710999628

2104 RANDOLPH RD
Charlotte, NC 28207

(704) 377-3900

✔ PECOS✔ Accepts MedicareSame address

Carl Lowe, M.D.

General Surgery

NPI 1417055716

2104 RANDOLPH RD
Charlotte, NC 28207

(704) 377-3900

✔ PECOS✔ Accepts MedicareSame address

Michael Melkonian, M.D.

General Surgery

NPI 1366540650

2104 RANDOLPH RD
Charlotte, NC 28207

(704) 377-3900

✔ PECOS✔ Accepts MedicareSame address

Robert Stevens, MD

Colorectal Surgery (Proctology)

NPI 1902934755

2015 RANDOLPH RD SUITE 201
Charlotte, NC 28207

(704) 333-1259

✔ PECOS✔ Accepts Medicare0.1 mi

Swati Adawadkar, MD

Obstetrics/Gynecology

NPI 1902004583

150 PROVIDENCE RD
Charlotte, NC 28207

(704) 973-2106

✔ PECOS✔ Accepts Medicare0.2 mi

Mina Mekhael, MD

Hospitalist

NPI 1639460884

2001 VAIL AVE
Charlotte, NC 28207

(704) 304-6070

✔ PECOS✔ Accepts Medicare0.2 mi

Kaitlyn Dill, DO

Family Practice

NPI 1376293902

2001 VAIL AVE
Charlotte, NC 28207

(704) 304-7000

✔ PECOS✔ Accepts Medicare0.2 mi

Deepti Athavale, MD

Internal Medicine

NPI 1942939822

1918 RANDOLPH RD STE 350
Charlotte, NC 28207

(704) 384-1750

✔ PECOS✔ Accepts Medicare0.3 mi

Leah Blum, APRN-CNP

Nurse Practitioner

NPI 1023686185

1918 RANDOLPH RD STE 220
Charlotte, NC 28207

(704) 316-1125

✔ PECOS✔ Accepts Medicare0.3 mi

Charles Bregier, MD

Emergency Medicine

NPI 1952394785

1918 RANDOLPH RD SUITE 175
Charlotte, NC 28207

(704) 316-1050

✔ PECOS0.3 mi

Matthew Brothers, M.D.

Pediatric Medicine

NPI 1639339450

1918 RANDOLPH RD STE 700
Charlotte, NC 28207

(704) 316-1220

✔ PECOS0.3 mi

Lisa Cannada, MD

Orthopedic Surgery

NPI 1205895513

1918 RANDOLPH RD STE 130
Charlotte, NC 28207

(704) 316-6005

✔ PECOS✔ Accepts Medicare0.3 mi

Joseph Chipman, MD

Neurology

NPI 1871756759

1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207

(704) 384-9437

✔ PECOS0.3 mi

Adva Eisenberg, MD

Endocrinology

NPI 1760724983

1918 RANDOLPH RD STE 220
Charlotte, NC 28207

(704) 316-1125

✔ PECOS✔ Accepts Medicare0.3 mi

Mary Gillis, PH.D.

Clinical Psychologist

NPI 1245630854

1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207

(704) 384-9437

✔ PECOS✔ Accepts Medicare0.3 mi

Sarah Higgins, M.D.

Gastroenterology

NPI 1649622309

1918 RANDOLPH RD STE 210
Charlotte, NC 28207

(704) 316-5060

✔ PECOS0.3 mi

Oliver Jervis, M.D.

Pulmonary Disease

NPI 1770542193

1918 RANDOLPH RD STE 580
Charlotte, NC 28207

(704) 384-9900

✔ PECOS✔ Accepts Medicare0.3 mi

Amar Panchal, M.D.

Critical Care (Intensivists)

NPI 1740506450

1918 RANDOLPH RD STE 580
Charlotte, NC 28207

(704) 384-9900

✔ PECOS✔ Accepts Medicare0.3 mi

Kristin Harvey, LDN

Registered Dietitian or Nutrition Professional

NPI 1801602875

1918 RANDOLPH RD STE 220
Charlotte, NC 28207

(704) 316-1125

✔ Accepts Medicare0.3 mi

Tracey Beaty, LCMHC

Mental Health Counselor

NPI 1215593777

1900 RANDOLPH RD STE 800
Charlotte, NC 28207

(704) 384-1246

✔ PECOS✔ Accepts Medicare0.3 mi

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.

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 1821525239. It was assigned to this organization in the NPPES registry on May 16, 2017. The provider is doing business as Novant Health Carolina Surgical.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 2104 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 377-3900.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 3 practice at this address and 906 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 June 20, 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.