Novant Health Medical Group, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

152 E Kinderton Way Ste 101
Bermuda Run, NC 27006-7351

Phone

(336) 893-3210

Fax

(336) 893-3229

NPI assigned

Nov 16, 2018

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 Spine Specialists 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 4

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

• Janis Elizabeth Buono, FNP-C

  • Nurse Practitioner
  • Bermuda Run, NC
  • NPI 1811567662
  NPD
• Michelle Williams Combs, PA-C

  • Medical Physician Assistant
  • Mount Airy, NC
  • NPI 1285763185
  NPD
• Jodie Brock Gregory

  • Nurse Practitioner
  • Bermuda Run, NC
  • NPI 1407518475
  NPD
• Shauna Brady McMillan, NP

  • Nurse Practitioner
  • Thomasville, NC
  • NPI 1831616499
  NPD

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1497224760",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E KINDERTON WAY STE 101",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067351",
            "telephone_number": "336-893-3210",
            "fax_number": "336-893-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "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": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Spine Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Spine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Helen Moser, PA-C
• Navid Azar Nafissi, MD
• Luke Christopher Naylor, PA-C
• North Carolina Baptist Hospital
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Medical Group, Inc.
• April Michelle Papineau, NP
• David Wesley Parker II, M.D., D.D.S.
• Michelle Dilipkumar Patel, M.D.

• Orthopaedic Surgery of the Spine Physician in Bermuda Run, NC
• Providers in Bermuda Run, NC by specialty
• Orthopaedic Surgery of the Spine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.