Active NPI
Novant Health Medical Group, LLC
Doing business as Novant Health Yadkin Medical Associates
- Family Medicine Physician
- Elkin, NC
National Provider Identifier
1629982285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Doing business as
- Novant Health Yadkin Medical Associates
- Practice address
- 189 Samaritans Ridge Rd
Elkin, NC 28621-2452 - Phone
- (336) 277-0250
- Fax
- (336) 277-0259
- NPI assigned
- Sep 30, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
189 Samaritans Ridge Rd
Elkin, NC 28621-2452
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other names 1
- Novant Health Yadkin Medical Associates
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1629982285",
"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": "189 SAMARITANS RIDGE RD",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212452",
"telephone_number": "336-277-0250",
"fax_number": "336-277-0259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"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 Yadkin Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkin, NC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03828)
- Northern Hospital of Surry County (Northern Pain Management)
- Northern Hospital of Surry County (Revival a Department of Northern Hospital)
- Northwest Ear Nose & Throat, PA
- Novant Health Medical Group, LLC (Novant Health Cardiology Elkin)
- Novant Medical Group Inc (Novant Health Carolina Urological Associates)
- Novant Medical Group, Inc (Novant Health Carolina Urological Associates)
- Emidio Michael Novembre, DO
- James O'Hare, MD
- Omni Visions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.