Novant Health Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Doing business as

Novant Health Family Medicine Gastonia

Practice address

885 Summit Crossing PL
Gastonia, NC 28054-2193

Phone

(704) 316-4979

Fax

(704) 316-4978

NPI assigned

Jan 8, 2010

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

Edi Manager

Phone

(704) 316-6081

Specialties & licenses 1

Addresses

Other names 2

• Novant Health Family Medicine Gastonia Doing business as
• Novant Health Family Physicians Gastonia Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Danyel Johnson, M.D.

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1780027607
  NPD
• Elizabeth Marie Provost, MD

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1861837114
  NPD
• Terri J St Clair, FNP-C

  • Nurse Practitioner
  • Gastonia, NC
  • NPI 1295265098
  NPD
• Alexa Jule Bernstein

  • Physician Assistant
  • Amesbury, MA
  • NPI 1376221432
  NPD

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1760712038",
    "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": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542193",
            "telephone_number": "704-316-4979",
            "fax_number": "704-316-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544725",
            "country_code": "US",
            "telephone_number": "704-853-3627",
            "fax_number": "704-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "EDI 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 Family Medicine Gastonia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Family Physicians Gastonia",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Northland Hearing Centers, Inc. (Best Value Hearing Care Center)
• Michelle Marie Norton, M.A., LPC
• Adrienne Renee Norwood, LCSW, QMHP
• Novant Health Enterprises Imaging, LLC (Novant Health Imaging Summit Crossing)
• Novant Health Medical Group, LLC (Novant Health Cancer Institute)
• Novant Medical Group Inc (Whitestone Family Medicine)
• Novant Medical Group, Inc. (Gaston Family Docs)
• Novant Medical Group, Inc. (Mid Carolina Cardiology)
• Farzad Nowrouzzadeh, M.D.
• Nurturing Wellness Counseling Services, PLLC

• Family Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.

Verify at the official NPI Registry.