NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC
NPI 1841850633
Family Medicine in Charlotte, NC

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

The NPI number for Novant Health Medical Group, LLC is 1841850633. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as Novant Health Michael Jordan Family Medical Clinic.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2019CLIA 34D2174337 · Waiver

3149 FREEDOM DRIVE, CHARLOTTE, NC 28208(980) 302-9405(980) 302-9406 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 18, 2021 and 2 more (5 updates tracked since 2019).

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About Novant Health Michael Jordan Family Medical Clinic NPPES

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

NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC (NPI 1841850633) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1841850633

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address3149 FREEDOM DRIVECharlotte, NC 28208-3869

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-9405 · Fax (980) 302-9406

Phone(980) 302-9405

Fax(980) 302-9406

Organization SubpartNo

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

Enumeration DateJune 14, 2019

Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1841850633 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.

3149 FREEDOM DRIVE, Charlotte, NC 28208

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Other Names 1

Doing Business AsNovant Health Michael Jordan Family Medical Clinic

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

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 34D2174337

Novant Health Michael Jordan Family Medicine Clinic - Freedom · Charlotte, NC

Active · expires Jan 4, 2027

CLIA Number34D2174337

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2025

Certificate Expiration DateJanuary 4, 2027

Laboratory DirectorJonathan David Wilson

Laboratory Phone(980) 302-9405

Laboratory LocationNovant Health Michael Jordan Family Medicine Clinic - Freedom3149 Freedom Drive, Charlotte, NC 28208

CLIA data matches this NPI record on: Address 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 1841850633. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as Novant Health Michael Jordan Family Medical Clinic.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 3149 Freedom Drive, Charlotte, NC 28208. The listed phone number is (980) 302-9405.

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 34D2174337) is associated with this NPI, valid through January 4, 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.