Novant Health Medical Group, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

NHMG Pulmonology Clinics

Practice address

201 Queens Rd
Charlotte, NC 28204-3217

Phone

(704) 316-5280

Fax

(704) 316-5282

NPI assigned

Sep 14, 2022

Last updated

Jun 24, 2024By the provider in NPPES

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

• NHMG Pulmonology Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandar Raja Abboy, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fayetteville, NC
  • NPI 1275583585

  Pulmonary Disease

  NPD
• Delorian Davis, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1790458271
  NPD
• Walid Raouf Eltaraboulsi, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
  • NPI 1245491083
  NPD
• Treshell Nicole Greene, PA-C

  • Physician Assistant
  • Salisbury, NC
  • NPI 1124029822
  NPD
• Rayleen Cassidy Jones

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1407276751
  NPD
• Hollis Ray, MD

  • Hospitalist Physician
  • Wilmington, NC
  • NPI 1427377613
  NPD
• Yotam Weiner, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
  • NPI 1649761388
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1073235230",
    "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": "704-316-5280",
            "fax_number": "704-316-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 QUEENS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043217",
            "telephone_number": "704-316-5280",
            "fax_number": "704-316-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "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": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHMG Pulmonology Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Pediatrics Highland Creek & After Hours Care)
• Novant Health Medical Group, LLC (NHMG Surgery Clinics)
• Novant Health Medical Group, LLC (Novant Health Lakeside Primary Care)
• Novant Health Medical Group, LLC (Novant Health Cancer Institute)
• Novant Health Medical Group, LLC (Novant Health Queen City OB/GYN)
• Novant Health Medical Group, LLC (Novant Health Pediatric Cardiology)
• Novant Health Medical Group, LLC (Novant Health Charlotte Colon & Rectal Surgery)
• Novant Health Medical Group, LLC (Novant Health Midtown Family Medicine)
• Novant Health Medical Group, LLC (Novant Health University City Internal Medicine)
• Novant Health Medical Group, LLC (Novant Health Flood and Harris OB/GYN)

• Pulmonary Disease Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.