Novant Health Medical Group, LLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

Novant Health Bariatric Solutions

Practice address

14215 Ballantyne Corporate PL Ste 240
Charlotte, NC 28277-3875

Phone

(704) 316-7760

Fax

(704) 316-7761

NPI assigned

Feb 6, 2017

Last updated

Jun 20, 2024By 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 Bariatric Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Breland Meany Joines, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1629228374
  NPD
• Thomas Steve Kefalas III, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1255625869
  NPD
• John Mark Pickering Jr., MD

  • Surgery Physician
  • Huntersville, NC
  • NPI 1245727866
  NPD

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1629516067",
    "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": "704-316-7585",
            "fax_number": "704-338-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 BALLANTYNE CORPORATE PL STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773875",
            "telephone_number": "704-316-7760",
            "fax_number": "704-316-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "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": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Bariatric Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Bariatric Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Supportive Care)
• Novant Health Medical Group, LLC (NHMG Endocrinology Clinics)
• Novant Health Medical Group, LLC (Novant Health Psychiatric Associates)
• Novant Health Medical Group, LLC (Novant Health Palliative Care)
• Novant Health Medical Group, LLC (Novant Health Heart and Vascular Institute)
• Novant Health Medical Group, LLC (Novant Health Pediatric Sports Medicine)
• Novant Health Medical Group, LLC (Novant Health Telepsychiatry)
• Novant Health Medical Group, LLC (Novant Health Inpatient Care Specialists Mint Hill)
• Novant Health Medical Group, LLC (Novant Health Senior Living Health Services - Charlotte)
• Novant Health Medical Group, LLC (Oula)

• Obesity Medicine (Internal Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Obesity Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.