Novant Health Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

1942 E 7TH St Ste 200
Charlotte, NC 28204-2418

Phone

(704) 384-7085

Fax

(704) 384-7089

NPI assigned

May 16, 2006

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 identifiers 3

Other names 2

• Novant Health First Charlotte Physicians Elizabeth Doing business as
• Novant Health First Charlotte Physicians EpiCentre 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 5

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

• Lucia Goodwin Burgess, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1336709401
  NPD
• Saba Imani, DO

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1043848880
  NPD
• Sheena Kapadia, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1780662239
  NPD
• William Michael Myrick, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1831480789
  NPD
• Samuel Jordan Stelmach, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1124473152
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1770535239",
    "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": "704-384-7085",
            "fax_number": "704-384-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E 7TH ST STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042418",
            "telephone_number": "704-384-7085",
            "fax_number": "704-384-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Trade St",
            "address_2": "Suite D-230",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022440",
            "country_code": "US",
            "telephone_number": "704-384-7085",
            "fax_number": "704-384-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC5118",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC",
            "identifier": "011JG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011JG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health First Charlotte Physicians Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health First Charlotte Physicians EpiCentre",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 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

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal 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.