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NOVANT HEALTH LAKESIDE PRIMARY CARE
NPI 1962582023
Family Medicine in Concord, NC

Active since October 16, 2006
7752 GATEWAY LN NW, SUITE 100, CONCORD, NC 28027(704) 316-4950(704) 316-4951 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Lakeside Primary Care NPPES

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

NOVANT HEALTH LAKESIDE PRIMARY CARE (NPI 1962582023) is a healthcare organization registered as a family medicine in Concord, North Carolina and active in the NPI registry since October 2006. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1962582023
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address7752 GATEWAY LN NW, SUITE 100Concord, NC 28027-4421
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-4950 · Fax (704) 316-4951
Phone(704) 316-4950
Fax(704) 316-4951
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1962582023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
7752 GATEWAY LN NW, Concord, NC 28027
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Other Names 1

Doing Business AsNovant Health Lakeside Primary Care

Other Identifiers 3

Other018TTNC · Bcbs-nc
MedicaidGPB795SC
Medicaid5905550NC

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 Lakeside Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Novant Health Lakeside Primary Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice38
Nurse Practitioner20
Internal Medicine9
Pediatric Medicine6
Hospitalist3
Geriatric Medicine2
Obstetrics/Gynecology2
Certified Nurse Midwife (CNM)1
2 other specialties2

Nearest to this location (20)

See all 83
Linda Agyapong, M.D.
Internal Medicine
NPI 1831540269
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts MedicareSame address
Brian Cain, M.D.
Internal Medicine
NPI 1083733273
7752 GATEWAY LN NW SUITE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts MedicareSame address
Valencia Covington, MD
Family Practice
NPI 1982771176
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts MedicareSame address
Lisa Ford, M.D
Family Practice
NPI 1881608248
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts MedicareSame address
Bridget Nduka, DO
Family Practice
NPI 1013473438
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts MedicareSame address
Taisha Roberts, M.D.
Internal Medicine
NPI 1679884803
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts MedicareSame address
James Desimone, FNP
Nurse Practitioner
NPI 1700312279
10810 MALLARD CREEK RD
Charlotte, NC 28262
(704) 510-8000
✔ PECOS✔ Accepts Medicare3.5 mi
Suima Aryal, MD
Family Practice
NPI 1881801959
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOS✔ Accepts Medicare4.0 mi
Dana Jeter
Nurse Practitioner
NPI 1982447306
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOS✔ Accepts Medicare4.0 mi
Michelle Festa, MD
Family Practice
NPI 1679662712
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-1161
✔ PECOS4.0 mi
Sheryl De Sa
Family Practice
NPI 1083121776
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.0 mi
Keith Griffin, MD
Internal Medicine
NPI 1962472415
5325 VINNING ST NW SUITE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.0 mi
Ann Mathew, FNP-C
Nurse Practitioner
NPI 1518361021
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare4.0 mi
Cynthia Barnhardt, NP
Nurse Practitioner
NPI 1184604159
5370 RIDGE RD
Charlotte, NC 28269
(704) 316-1491
✔ PECOS4.5 mi
Charles Atkinson, M.D.
Family Practice
NPI 1417037300
6909 PROSPERITY CHURCH RD
Huntersville, NC 28078
(704) 384-1425
✔ PECOS4.6 mi
Niyomi Patel, M.D.
Pediatric Medicine
NPI 1639557481
8401 MEDICAL PLAZA DR STE 220
Charlotte, NC 28262
(704) 384-1570
✔ PECOS5.1 mi
Lalonda Graham, M.D.
Family Practice
NPI 1821051467
13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215
(704) 316-4990
✔ PECOS✔ Accepts Medicare6.3 mi
Rachel Banks, MD
Family Practice
NPI 1780713230
13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215
(704) 316-4990
✔ PECOS6.3 mi
Tiffany Reisser, MSN, FNP-C
Nurse Practitioner
NPI 1104497171
13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215
(704) 316-4990
✔ PECOS✔ Accepts Medicare6.3 mi
Carrie Bush, MSN, FNP
Nurse Practitioner
NPI 1871920686
9930 KINCEY AVE STE 210
Huntersville, NC 28078
(704) 316-5560
✔ PECOS✔ Accepts Medicare8.8 mi
See all 83 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 1962582023. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider is doing business as Novant Health Lakeside Primary Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 7752 Gateway Ln NW Suite 100, Concord, NC 28027. The listed phone number is (704) 316-4950.

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), 83 clinicians in 10 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 Family Practice (38), Nurse Practitioner (20) and Internal Medicine (9). Of these, 6 practice at this address and 26 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 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.