NPIMap

Organization Active NPI

Novant Health Greenville Primary Care Clinics, LLC

Doing business as Novant Health Brio Primary Care

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1104743707
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVANT HEALTH GREENVILLE PRIMARY CARE CLINICS, LLC
Doing business as
Novant Health Brio Primary Care
Practice address
2 Bella Grove Dr Ste 100
Greenville, SC 29607-3459
Phone
(864) 603-5600
Fax
(864) 603-5601
NPI assigned
Jul 2, 2026
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2 Bella Grove Dr Ste 100
Greenville, SC 29607-3459

Mailing address

PO Box 604501
Charlotte, NC 28260-4501

Other practice location 1

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 603-5600

Other names 1

  • Novant Health Brio Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

2 Bella Grove Dr
Ste 100
Greenville, SC 29607
Phone (864) 603-5600

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1104743707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BELLA GROVE DR STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073459",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH GREENVILLE PRIMARY CARE CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Brio Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.