Novant Medical Group, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Novant Health Women's Heart & Vascular Center

Practice address

6324 Fairview Rd Ste 400
Charlotte, NC 28210-4278

Phone

(980) 302-8659

Fax

(980) 302-8674

NPI assigned

Dec 5, 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 Women's Heart & Vascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Kelsey Jean Anderson, PA

  • Physician Assistant
  • Kernersville, NC
  • NPI 1679967749
  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1083251300",
    "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": "980-302-8659",
            "fax_number": "980-302-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104278",
            "telephone_number": "980-302-8659",
            "fax_number": "980-302-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Women's Heart & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Women's Heart & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group, Inc. (Mint Hill Family Practice)
• Novant Medical Group, Inc. (Novant Health NoDa OBGYN)
• Novant Medical Group, Inc. (Novant Health Brain and Spine Surgery)
• Novant Medical Group, Inc. (Novant Health Pediatrics Plaza Midwood)
• Novant Medical Group, Inc. (Presbyterian Sleep Lab Ballantyne)
• Novant Medical Group, Inc. (North Charlotte Sleep Health)
• Novant Medical Group, Inc. (Novant Health Heart and Vascular Institute)
• Novant Medical Group, Inc. (Novant Health Primary Care Parktowne)
• Novant Medical Group, Inc. (Novant Health Parker Internal Medicine)
• Novant Medical Group, Inc. (Novant Health Pediatric Allergy & Immunology)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.