Novant Health Medical Group, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

NHMG Specialty Clinics

Practice address

9604 Holly Point Dr
Huntersville, NC 28078-4913

Phone

(704) 316-5070

Fax

(704) 316-5075

NPI assigned

Sep 19, 2022

Last updated

Jun 24, 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

• NHMG Specialty Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 19

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.

• Michael Christopher Adams, MD

  • Pediatrics Physician
  • Chapel Hill, NC
  • NPI 1144683681
  NPD
• Graylan Dwight Byrd, ATC, PA-C

  • Physician Assistant
  • Salisbury, NC
  • NPI 1053708891
  NPD
• Deborah Negus Dorrell, MD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1588221857

  Dermatology

  NPD
• Stacey Jo Edwards, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1255923629
  NPD
• Nader Cyrus Emami-Kelishadi, PA

  • Physician Assistant
  • Raleigh, NC
  • NPI 1003120247
  NPD
• Lauren Brooke Gandhi, M.D.

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1447257092
  NPD
• Clara Cornelia Hildebrandt, MD

  • Pediatrics Physician
  • Chapel Hill, NC
  • NPI 1821459728
  NPD
• William Stokes Houck III, M.D.

  • Pediatric Gastroenterology Physician
  • Charlotte, NC
  • NPI 1063430460
  NPD
• Justina Yeehua Ju, M.D.

  • Gastroenterology Physician
  • High Point, NC
  • NPI 1427275817
  NPD
• Pooja Kumari, MD

  • Rheumatology Physician
  • Huntersville, NC
  • NPI 1194131342
  NPD
• Megan Eva Lipponen, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1568263812
  NPD
• Daniel William Murphy, M.D.

  • Gastroenterology Physician
  • Winston Salem, NC
  • NPI 1568429405
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1679295307",
    "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": "704-316-5070",
            "fax_number": "704-316-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 HOLLY POINT DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784913",
            "telephone_number": "704-316-5070",
            "fax_number": "704-316-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "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": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHMG Specialty Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Northlake Dermatology)
• Novant Health Medical Group, LLC (Novant Health Psychiatric Associates)
• Novant Health Medical Group, LLC (Novant Health Sleep Center)
• Novant Health Medical Group, LLC (Novant Health Inpatient Care Specialists Huntesville)
• Novant Health Medical Group, LLC (NHMG Psychiatric Clinics)
• Novant Health Medical Group, LLC (Novant Health Palliative Care)
• Novant Health Medical Group, LLC (Novant Health Huntersville Adult Medicine)
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC (Novant Health Harbor Pointe OB/GYN)
• Novant Health Medical Group, LLC (Novant Health Oakhill Commons Internal Medicine)

• Dermatology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Dermatology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.