Active NPI
NH VCN Virtual Primary Care LLC
- Family Medicine Physician
- Winston Salem, NC
National Provider Identifier
1104755313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NH VCN VIRTUAL PRIMARY CARE LLC
- Practice address
- 2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614 - Phone
- (980) 217-2025
- NPI assigned
- May 14, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Mailing address
PO Box 604509
Charlotte, NC 28260-4509
Other names 1
- Novant Health Virtual Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260623003752 | NC | Part B Supplier - Clinic/Group Practice | 2668945437 |
Receives reassigned benefits from 3 practitioners Practice locations: Winston Salem, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- NH VCN Virtual Primary Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Mt Pleasant, SC
- NPI 1285567727
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1386932838
Family Medicine, NC
-
- Internal Medicine Physician
- Winston Salem, NC
- NPI 1306109285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1104755313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604509",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 FRONTIS PLAZA BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035614",
"telephone_number": "980-217-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NH VCN VIRTUAL PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-14",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Virtual Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.