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: August 02, 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

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 Road, 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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Physician Assistant
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Family Medicine
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Family Medicine
4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105
Nurse Practitioner
4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105
Family Medicine
4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

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.

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 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.