Novant Health Medical Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

6 Doctors Cir Ste 5
Supply, NC 28462-6358

Phone

(910) 721-4370

NPI assigned

Mar 12, 2019

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 Orthopedics & Sports Medicine 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.

• Benjamin Bryan Browning, MD

  • Orthopaedic Surgery Physician
  • Supply, NC
  • NPI 1790075844
  NPD
• Meghan Doren Collins, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1932634979
  NPD
• Dawn Marie Gavagan Simala Young, D.O.

  • Family Medicine Physician
  • Leland, NC
  • NPI 1750368726
  NPD
• David Ulery, DO

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1477914141
  NPD

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1083172829",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOCTORS CIR STE 5",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284626358",
            "telephone_number": "910-721-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Olde Waterford Way",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514117",
            "country_code": "US",
            "telephone_number": "910-721-4370",
            "fax_number": "910-721-4379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Life Sleep Consultants Inc.
• North Carolina Physician Network, Inc.
• Novant Health Brunswick Endoscopy Center, LLC
• Novant Health Brunswick Endoscopy Center, LLC
• Novant Health Medical Group LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Medical Group Inc
• Novant Medical Group Inc
• Novant Medical Group, Inc.

• Orthopaedic Surgery Physician in Supply, NC
• Providers in Supply, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.