Novant Health Medical Group, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

16525 Holly Crest LN Ste 220
Huntersville, NC 28078-4909

Phone

(704) 384-1940

Fax

(704) 895-5977

NPI assigned

Aug 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leea Jeanine Walton

Title

RCS Manager

Phone

(704) 316-6081

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Infectious Disease Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Fraser Anthony, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1215165907
  NPD
• Lindsay Marie Appleton, AGACNP-BC

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1528619327
  NPD
• Tyler Edward Dickson

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1861856767
  NPD
• Paula Dilanchian, DO

  • Infectious Disease Physician
  • Huntersville, NC
  • NPI 1477708576

  Infectious Disease

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1003332016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 HOLLY CREST LN STE 220",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784909",
            "telephone_number": "704-384-1940",
            "fax_number": "704-895-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Infectious Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soltana Soli Nosrati, LCSW
• Frank D Nottingham
• Novant Health Employer Solutions, LLC
• Novant Health Enterprises Imaging, LLC
• Novant Health Medical Group LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC

• All providers in Huntersville, NC
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.