Novant Health Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

Novant Health Steele Creek Family Medicine

Practice address

2610 W Arrowood Rd
Charlotte, NC 28273-6134

Phone

(704) 316-1700

Fax

(704) 316-1701

NPI assigned

May 19, 2006

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 2

Other names 1

• Novant Health Steele Creek Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Michelle Delores Boose, M.D., M.P.H.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1922268978
  NPD
• Brittney Chantel Cole, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1265965727
  NPD
• Carly Donahue, DO

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1790121796
  NPD
• Mawuse Komlanvi Gbegnon, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1982095881
  NPD
• Tyler Matthew Harrell

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770043192
  NPD
• Nichole Lynette Johnson, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1295052843
  NPD
• Sean Michael Johnson, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1043656044
  NPD
• Kerriann Sedonie Minott, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1578068789
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1457305237",
    "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": "704-316-1700",
            "fax_number": "704-316-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W ARROWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736134",
            "telephone_number": "704-316-1700",
            "fax_number": "704-316-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016V8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Steele Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Steele Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Pediatric Pulmonology)
• Novant Health Medical Group, LLC (Novant Health Urogynecology)
• Novant Health Medical Group, LLC (Novant Health Heart and Vascular Institute)
• Novant Health Medical Group, LLC (Novant Health Pediatric Allergy & Immunology)
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC (Novant Health Eastover Pediatrics)
• Novant Health Medical Group, LLC (Novant Health Pediatrics SouthPark)
• Novant Health Medical Group, LLC (Novant Health Primary Care NoDa)
• Novant Health Medical Group, LLC (Novant Health Brain and Spine Surgery)
• Novant Health Medical Group, LLC (Novant Health Diabetes & Nutrition)

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.