NPIMap

Organization Active NPI

NMG Health Services, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Charlotte, NC
National Provider Identifier
1093696353
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
NMG HEALTH SERVICES, LLC
Practice address
6324 Fairview Rd Ste 420
Charlotte, NC 28210-3372
Phone
(704) 316-1120
Fax
(704) 316-1121
NPI assigned
Sep 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Leea Walton
Title
RCS Manager
Phone
(704) 316-6081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 420
Charlotte, NC 28210-3372

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Other practice location 1

9930 Kincey Ave Ste 220
Huntersville, NC 28078-6555
Phone (704) 316-1120

Other practice location 2

8201 Healthcare Loop Ste 302
Charlotte, NC 28215-7072
Phone (704) 316-1120

Other practice location 3

106 Langtree Village Dr Ste 200
Mooresville, NC 28117-7594
Phone (704) 316-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230222003037 NC Part B Supplier - Clinic/Group Practice 4789057753 Receives reassigned benefits from 80 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winston Salem, NC; Wilmington, NC; Mooresville, NC; Matthews, NC; Huntersville, NC; Cornelius, NC; Charlotte, NC; Bolivia, NC…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
NMG Health Services LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Practitioners & affiliated clinicians

Practitioners 78

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

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093696353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103372",
            "telephone_number": "704-316-1120",
            "fax_number": "704-316-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Kincey Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786555",
            "country_code": "US",
            "telephone_number": "704-316-1120",
            "fax_number": "704-384-1461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Healthcare Loop Ste 302",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157072",
            "country_code": "US",
            "telephone_number": "704-316-1120",
            "fax_number": "704-316-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Langtree Village Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281177594",
            "country_code": "US",
            "telephone_number": "704-316-1120",
            "fax_number": "704-316-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NMG HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.