NH VCN Virtual Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NH VCN VIRTUAL PRIMARY CARE LLC

Doing business as

Novant Health Virtual Primary Care

Practice address

2000 Hospital Dr
Mt Pleasant, SC 29464-3764

Phone

(980) 217-2025

Fax

(980) 598-8251

NPI assigned

Jun 4, 2026

Last updated

Jun 9, 2026By 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 names 1

• Novant Health Virtual Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• NH VCN Virtual Primary Care LLC

  dba Novant Health Virtual Primary Care

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104755313

  2668945437

  Same PAC ID

Tax ID family

NH VCN Virtual Primary Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• NH VCN Virtual Primary Care LLC

  dba Novant Health Virtual Primary Care

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104755313
  NPD tax ID

Practitioners 3

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.

• Nardin Nabil Khalil, MD

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1386932838

  SC

  Medicare reassignment NPD (past)
• Taisha C'Mone Roberts, M.D.

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1679884803

  SC

  Medicare reassignment
• Dorothy Shum-Arenas, D.O.

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1306109285
  NPD (past)

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1285567727",
    "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": "2000 HOSPITAL DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643764",
            "telephone_number": "980-217-2025",
            "fax_number": "980-598-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH VCN VIRTUAL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Virtual Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Tide Psychotherapy
• Margaret Newman-Crowson, LPC, LMFT
• Nathan S. Newton Jr., PHARM D, R PH
• Minhthu Nguyen
• Viet Nguyen
• Amber Joy Nicholson, PTA
• Jacqueline Nickel, MS CCC SLP
• Jena W. Nickles, PA
• Nicole Dahlkemper, DMD, PC
• Bethaney Nielsen, DPT

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Medicine Physician in South Carolina

• 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.

Verify at the official NPI Registry.