Active NPI
Novant Health Medical Group, LLC
- Family Medicine Physician
- Wesley Chapel, NC
National Provider Identifier
1669954608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Practice address
- 6480 Weddington Road
Wesley Chapel, NC 28104 - Phone
- (704) 316-5650
- NPI assigned
- Sep 6, 2018
- 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 | Primary |
Addresses
Primary practice location
6480 Weddington Road
Wesley Chapel, NC 28104
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
6488 Weddington-Monroe
Wesley Chapel, NC 28104
Phone (704) 316-5650
Other names 2
- Novant Health Southern Piedmont Primary Care
- Novant Health Wesley Chapel Family & Sports Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2155508 | Novant Health Wesley Chapel Family & Sports | Compliance | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
6480 Weddington Rd
Wesley Chapel, NC 28104
Phone (704) 316-5650
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Monroe, NC
- NPI 1083108419
-
- Nurse Practitioner
- Wesley Chapel, NC
- NPI 1932059516
-
- Physician Assistant
- Wesley Chapel, NC
- NPI 1831349471
-
- Physician Assistant
- Wesley Chapel, NC
- NPI 1396015772
-
- Family Medicine Physician
- Wesley Chapel, NC
- NPI 1639464837
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1669954608",
"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": "844-266-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 WEDDINGTON ROAD",
"city": "WESLEY CHAPEL",
"state": "NC",
"postal_code": "28104",
"telephone_number": "704-316-5650"
}
],
"practiceLocations": [
{
"address_1": "6488 Weddington-Monroe",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "NC",
"postal_code": "28104",
"country_code": "US",
"telephone_number": "704-316-5650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Southern Piedmont Primary Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novant Health Wesley Chapel Family & Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wesley Chapel, NC
- Virginia Jeanne Kearney Moore, PA-C
- Murdock and Murdock, DDS, Ms, PA
- North Carolina CVS Pharmacy LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Tiffany Madsen Ohta, MD
- Roshni Parag Patel, MD
- Pediatric Dentistry of Wesley Chapel
- Larry F Perkins, DDS, PA
- Thomas Faran Pittman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.