Novant Health Greenville Medical Group, LLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC

Doing business as

Novant Health Head & Neck Reconstructive Surgery - Congaree

Practice address

701 Congaree Rd
Greenville, SC 29607-3519

Phone

(864) 248-4130

Fax

(864) 248-4131

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Leea Walton

Title

RCS Manager

Phone

(336) 515-7085

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Head & Neck Reconstructive Surgery - Congaree Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Novant Health Greenville Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Greenville, SC
  • NPI 1043008923

  O20250725002822

  Same enrollment

Tax ID family

Novant Health Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Novant Health Greenville Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Greenville, SC
  • NPI 1043008923
  NPD tax ID

Practitioners 1

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

• Robert Osborne Brown III, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Greenville, SC
  • NPI 1124074851
  NPD

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1831079573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604348",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073519",
            "telephone_number": "864-248-4130",
            "fax_number": "864-248-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "336-515-7085"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Head & Neck Reconstructive Surgery - Congaree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olexandr S Nosov, M.D., SA-C
• Niam Nourani, DO
• Nourishing Hands LLC
• Alexandra V. Novak, MSP, CCC-SLP
• Novant Health Greenville Medical Group, LLC
• Novant Health Greenville Primary Care Clinics, LLC
• Novant Health Patewood Surgery Center, LLC
• Novant Health Patewood Surgery Center, LLC
• Dennis E Novia, MD
• Maureen Lindsay Nowak, C.N.M.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.