Novant Health Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

1480 Wesley Chapel Rd
Indian Trail, NC 28079-5244

Phone

(704) 316-3616

Fax

(704) 316-1199

NPI assigned

Jun 2, 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

RCS Manager

Phone

(704) 316-6081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Novant Health Sun Valley Family Physicians Doing business as

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 6

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

• Adam Dean Houser, M.D.

  • Internal Medicine Physician
  • Indian Trail, NC
  • NPI 1962676221
  NPD
• Onyinye Igbokwe, MD

  • Family Medicine Physician
  • Indian Trail, NC
  • NPI 1609014133
  NPD
• Nancy Viola James, A-GNP

  • Nurse Practitioner
  • Indian Trail, NC
  • NPI 1275214124
  NPD
• Jacquelyne Murray

  • Family Medicine Physician
  • Indian Trail, NC
  • NPI 1033640610
  NPD
• James Paul Robson Jr., N.P.

  • Nurse Practitioner
  • Indian Trail, NC
  • NPI 1184009797
  NPD
• Holly Suzanna Schmitt, NP

  • Nurse Practitioner
  • Monroe, NC
  • NPI 1841452133
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1922046929",
    "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",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WESLEY CHAPEL RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795244",
            "telephone_number": "704-316-3616",
            "fax_number": "704-316-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "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": "RCS 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011AV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Sun Valley Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Sun Valley Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My Mobility Physical Therapy Wellness , LLC
• Austin Tyler Nedved
• Mazyar Neshat, D.C.
• Taisiya Netrebko, MD
• New Chapter Life Solutions Inc.
• Jessica Elaine O'Shields, LMFT
• Oasis Clinical Care Management & Consultation PLLC
• Valarie Odle, COTA
• Gary Charles Of, PT
• Gina J Ohmann, PHYSICAL THERAPIST

• Family Medicine Physician in Indian Trail, NC
• Providers in Indian Trail, 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.