Novant Health Medical Group LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP LLC

Doing business as

Novant Health Orthopedics & Sports Medicine

Practice address

7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8029

Phone

(336) 893-2400

Fax

(336) 893-2410

NPI assigned

Sep 9, 2014

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 1

Other names 1

• Novant Health Orthopedics & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

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

• Jamie Lee Blankinship, PA-C

  • Physician Assistant
  • Asheville, NC
  • NPI 1457000333
  NPD
• Kevin Richard Collmar, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Thomasville, NC
  • NPI 1578151031
  NPD
• Kathleen Marilyn Elliott, MD

  • Hematology (Internal Medicine) Physician
  • Winston Salem, NC
  • NPI 1255510970
  NPD
• Gregory Scott Robins, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1316917230
  NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1548661606",
    "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": "336-893-2400",
            "fax_number": "336-893-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 VILLAGE MEDICAL CIR STE 110",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128029",
            "telephone_number": "336-893-2400",
            "fax_number": "336-893-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548661606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athena Norton, LCSWA
• Novant Health Clemmons Outpatient Surgery, LLC
• Novant Health Clemmons Outpatient Surgery, LLC
• Novant Health Enterprises Imaging, LLC (Novant Health Imaging Village Point)
• Novant Health Medical Group LLC (Novant Health WomanCare)
• Novant Health Medical Group, LLC (Novant Health Village Point Family Medicine)
• Novant Health Medical Group, LLC (Novant Health Twin City Pediatrics)
• Novant Health Medical Group, LLC (Novant Health Mothershed Foot & Ankle Specialists)
• Novant Health Medical Group, LLC (Novant Health Colon & Rectal Clinic)
• Novant Health Medical Group, LLC (Novant Health Salem Surgical Associates)

• Orthopaedic Surgery Physician in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.