NPIMap

Organization Active NPI

Novant Health Triangle Medical Group, LLC

Doing business as Carolina Family Practice & Sports Medicine

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1760202303
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NOVANT HEALTH TRIANGLE MEDICAL GROUP, LLC
Doing business as
Carolina Family Practice & Sports Medicine
Practice address
3700 NW Cary Pkwy Ste 110
Cary, NC 27513-8446
Phone
(919) 238-2000
Fax
(919) 238-5010
NPI assigned
Oct 16, 2024
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leea Jeannie Walton
Title
RCS Manager
Phone
(336) 515-7085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X

Addresses

Primary practice location

3700 NW Cary Pkwy Ste 110
Cary, NC 27513-8446

Mailing address

PO Box 604337
Charlotte, NC 28260-4337

Other practice location 1

1070 S Main St Ste 130
Holly Springs, NC 27540-4206
Phone (919) 238-2000

Other practice location 2

8300 Health Park Ste 107
Raleigh, NC 27615-4731
Phone (919) 238-2000

Other names 1

  • Carolina Family Practice & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250113000468 NC Part B Supplier - Clinic/Group Practice 3476081985 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Raleigh, NC; Holly Springs, NC; Cary, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1760202303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604337",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW CARY PKWY STE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138446",
            "telephone_number": "919-238-2000",
            "fax_number": "919-238-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 S Main St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275404206",
            "country_code": "US",
            "telephone_number": "919-238-2000",
            "fax_number": "919-238-5010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Health Park Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154731",
            "country_code": "US",
            "telephone_number": "919-238-2000",
            "fax_number": "919-238-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH TRIANGLE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANNIE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "336-515-7085"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Family Practice & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.