Novant Health Medical Group, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

Novant Health Dermatology Associates

Practice address

1450 Matthews Township Pkwy Ste 355
Matthews, NC 28105-4300

Phone

(704) 384-6020

Fax

(704) 384-6025

NPI assigned

Jun 14, 2006

Last updated

Sep 12, 2025By the provider in NPPES

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 identifiers 4

Other names 1

• Novant Health Dermatology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• Charles A. Bregier Jr., MD

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1952394785
  NPD
• Zoe Hayes Feliciano, PA-C

  • Physician Assistant
  • Gastonia, NC
  • NPI 1760976724
  NPD
• Carl Jarrett Lowe Jr., M.D.

  • Surgery Physician
  • Charlotte, NC
  • NPI 1417055716
  NPD
• Sara Andrase Martinho, PA-C

  • Physician Assistant
  • Monroe, NC
  • NPI 1467883231
  NPD
• Juleidy Conde Turnipseed, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1194062208
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1114960069",
    "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": "704-384-6020",
            "fax_number": "704-384-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 355",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054300",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "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": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB227",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC5118",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906187",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "71098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Wound Care)
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC (Novant Health Southeast OB/GYN)
• Novant Health Medical Group, LLC (Novant Health Neurology and Sleep)
• Novant Health Medical Group, LLC (Novant Health Occupational Medicine)
• Novant Health Medical Group, LLC (Novant Health Pine Lake Family Physicians)
• Novant Health Medical Group, LLC (Novant Health Township Pediatrics)
• Novant Health Medical Group, LLC (Novant Health Inpatient Care Specialists Matthews)
• Novant Health Medical Group, LLC (Novant Health Pediatric Pulmonology)
• Novant Health Medical Group, LLC (Novant Health Bariatric Solutions)

• Dermatology Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Dermatology Physician in North Carolina

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