NOVANT HEALTH MEDICAL GROUP LLC NPI 1992166771

NPI Information

  • NPI: 1992166771
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH PRIMARY CARE GILEAD
  • CLIA Number: 34D2112654
  • Address: 9930 KINCEY AVE STE 210
    HUNTERSVILLE, NC
    ZIP 28078
  • Phone: (704) 316-5560

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is a family medicine in Huntersville, NC. The provider is 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. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1992166771. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Primary Care Gilead.

The provider's business location address is:

9930 KINCEY AVE STE 210
HUNTERSVILLE, NC
ZIP 28078-541
Phone: (704) 316-5560
Fax: (704) 316-5561

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 34D2112654 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 7/9/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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

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