Active NPI
Novant Health Medical Group, LLC
- Obstetrics & Gynecology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Practice address
- 8201 Healthcare Loop Ste 302
Charlotte, NC 28215 - Phone
- (704) 316-2319
- Fax
- (704) 316-2321
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (704) 316-6081
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1760413371
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1609877091
Obstetrics & Gynecology
-
- Advanced Practice Midwife
- Charlotte, NC
- NPI 1710172770
-
- Advanced Practice Midwife
- Fort Mill, SC
- NPI 1407725807
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 |
|---|---|---|---|
| 34D2155114 | Novant Health Mint Hill OB/GYN | Provider-performed microscopy | Dec 11, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000692 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 3,607 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
3135 Springbank Ln
Ste 100
Charlotte, NC 28226
Phone (704) 316-4445
14330 Oakhill Park Ln
Ste 140
Huntersville, NC 28078
Phone (704) 316-3492
1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860
502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8201 Healthcare Loop Ste 302
Charlotte, NC 28215
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7680
Other names 1
NPPES NPI Registry- Novant Health Mint Hill OB/GYN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2024.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1770034829",
"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": "704-384-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 HEALTHCARE LOOP STE 302",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "704-316-2319",
"fax_number": "704-316-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"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": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Mint Hill OB/GYN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novant Health Mint Hill OB/GYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.