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 Northern Family Medicine

Practice address

6161 Lake Brandt Rd Unit B
Greensboro, NC 27455-8415

Phone

(336) 643-5800

Fax

(336) 643-7474

NPI assigned

Jul 30, 2010

Last updated

Jul 9, 2024By the provider in NPPES

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 names 1

• Novant Health Northern Family Medicine 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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olayinka Daniel Akinola, MD

  • Hospitalist Physician
  • Winston Salem, NC
  • NPI 1285612523
  NPD
• Michael Channing Badger, M.D.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1124043310
  NPD
• Brian Hurd Carroll, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1184684151
  NPD
• Brooke Ann Falstreau, AGNP-C, DNP

  • Nurse Practitioner
  • Kernersville, NC
  • NPI 1962995241
  NPD
• Kyra Ann McClanahan, NP

  • Nurse Practitioner
  • Greensboro, NC
  • NPI 1154805919
  NPD
• Jennifer Roberts Rosen, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1790755601
  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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1922312016",
    "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": "704-384-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 LAKE BRANDT RD UNIT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558415",
            "telephone_number": "336-643-5800",
            "fax_number": "336-643-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Northern Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Northern Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Novant Health Piedmont North Carolina Medical Group, LLC (Spine & Scoliosis Specialists Novant Health)
• Novant Health Thomasville Medical Center, LLC
• Novant Health Thomasville Medical Center, LLC

• Family Medicine Physician in Greensboro, NC
• Providers in Greensboro, 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.