NOVANT HEALTH AUSTIN VILLAGE FAMILY MEDICINE
NPI 1871065318
Family Medicine in Matthews, NC

Active since December 21, 2018CLIA 34D2161153 · Waiver
4105 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105(704) 316-3095 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Jul 10, 2023, Aug 18, 2021 and 2 more (5 updates tracked since 2018).

About Novant Health Austin Village Family Medicine NPPES

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

NOVANT HEALTH AUSTIN VILLAGE FAMILY MEDICINE (NPI 1871065318) is a healthcare organization registered as a family medicine in Matthews, North Carolina and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1871065318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address4105 MATTHEWS MINT HILL RDMatthews, NC 28105-3633
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateDecember 21, 2018
Last NPPES UpdateJuly 8, 20245 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1871065318 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.
4105 MATTHEWS MINT HILL RD, Matthews, NC 28105

Other Names 1

Doing Business AsNovant Health Austin Village Family Medicine

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 Austin Village 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 Austin Village Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 815 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
Nurse Practitioner
NPI 1144671942
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447857560
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285139410
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 316-3095
✔ PECOSSame address
Nurse Practitioner
NPI 1629425608
3610 MATTHEWS MINT HILL RD
Matthews, NC 28105
(866) 389-2727
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1154184281
3610 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 708-5701
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1215485867
9600 E INDEPENDENCE BLVD
Matthews, NC 28105
(704) 316-4846
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1851332928
9600 E INDEPENDENCE BLVD STE B
Matthews, NC 28105
(704) 815-5624
✔ PECOS✔ Accepts Medicare2.1 mi
Medical Oncology
NPI 1497981583
1700 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 841-8151
✔ PECOS✔ Accepts Medicare2.3 mi
Hematology/Oncology
NPI 1447412713
1700 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 841-8151
✔ PECOS✔ Accepts Medicare2.3 mi
Internal Medicine
NPI 1093006066
11300 CRESTHILL DR STE 100
Mint Hill, NC 28227
(980) 302-3550
✔ PECOS✔ Accepts Medicare2.5 mi
Hospitalist
NPI 1780610493
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-5416
✔ PECOS✔ Accepts Medicare2.5 mi
Hospice/Palliative Care
NPI 1215387824
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
(704) 384-6478
✔ PECOS✔ Accepts Medicare2.5 mi
Mental Health Counselor
NPI 1427516996
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Clinical Social Worker
NPI 1205931946
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1922492909
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOS2.5 mi
Psychiatry
NPI 1760060024
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts Medicare2.5 mi
Pediatric Medicine
NPI 1720737182
1401 MATTHEWS TOWNSHIP PKWY STE 100
Matthews, NC 28105
(704) 384-1080
✔ PECOS2.5 mi
Pulmonary Disease
NPI 1699907790
1450 MATTHEWS TOWNSHIP PKWY STE 380
Matthews, NC 28105
(704) 384-9200
✔ PECOS✔ Accepts Medicare2.6 mi
Obstetrics/Gynecology
NPI 1366837098
1450 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 246-1846
✔ PECOS✔ Accepts Medicare2.6 mi
General Surgery
NPI 1699034603
1450 MATTHEWS TOWNSHIP PKWY STE 230
Matthews, NC 28105
(704) 384-8615
✔ PECOS✔ Accepts Medicare2.6 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.

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 34D2161153

Novant Health Austin Village Family Medicine · Matthews, NC
Active · expires Dec 31, 2026
CLIA Number34D2161153
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorRonald Desrouilleres
Laboratory Phone(704) 316-3095
Laboratory LocationNovant Health Austin Village Family Medicine4105 Matthews Mint Hill Rd, Matthews, NC 28105
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 1871065318. It was assigned to this organization in the NPPES registry on December 21, 2018. The provider is doing business as Novant Health Austin Village Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 4105 Matthews Mint Hill Rd, Matthews, NC 28105. The listed phone number is (704) 316-3095.

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, 3 practice at this address and 815 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 34D2161153) is associated with this NPI, valid through December 31, 2026. 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 8, 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.