NOVANT HEALTH MEDICAL GROUP LLC NPI 1104310374

NPI Information

  • NPI: 1104310374
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH ADULT PRIMARY CARE HARPER HILL
  • CLIA Number: 34D2158984
  • Address: 4937 OLD COUNTRY CLUB RD
    WINSTON SALEM, NC
    ZIP 27104
  • Phone: (336) 718-4510

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is an internal medicine in Winston Salem, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1104310374. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Adult Primary Care Harper Hill.

The provider's business location address is:

4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC
ZIP 27104
Phone: (336) 718-4510
Fax: (336) 718-4519

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D2158984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 7/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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