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 Primary Care Gilead

Practice address

9930 Kincey Ave Ste 210
Huntersville, NC 28078-6541

Phone

(704) 316-5560

Fax

(704) 316-5561

NPI assigned

Mar 8, 2016

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 Primary Care Gilead 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 15

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.

• Aram Alexanian, M.D.

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1659359941
  NPD
• Sharyce Nicole Banks, PA-C

  • Physician Assistant
  • Mint Hill, NC
  • NPI 1679862163
  NPD
• Marlisa Bullock-Durham, NP

  • Nurse Practitioner
  • Denver, NC
  • NPI 1134555139
  NPD
• Bryan Todd Edwards, M.D.

  • Orthopaedic Surgery Physician
  • Cornelius, NC
  • NPI 1063408300
  NPD
• Joseph Michael Gentile, M.D.

  • Orthopaedic Surgery Physician
  • Huntersville, NC
  • NPI 1871757724
  NPD
• Mary Martha Karriker, PA

  • Physician Assistant
  • Mooresville, NC
  • NPI 1053341651
  NPD
• Lindsey Michelle Matthews, DO

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1629632278
  NPD
• Michael Daniel Murphy, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1649257601
  NPD
• Jonathan Oakes

  • Physician Assistant
  • Charlotte, NC
  • NPI 1942858733
  NPD
• Kristin Nicole Oden, PA-C

  • Physician Assistant
  • Mooresville, NC
  • NPI 1427396886
  NPD
• Victoria Bailey Rourk, NP

  • Nurse Practitioner
  • Huntersville, NC
  • NPI 1750610382
  NPD
• Carisa Marice Sutherland, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1639194764
  NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1992166771",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 210",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-316-5560",
            "fax_number": "704-316-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Primary Care Gilead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Medical Group, LLC (Novant Health Huntersville Adult Medicine)
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC (Novant Health Harbor Pointe OB/GYN)
• Novant Health Medical Group, LLC (Novant Health Oakhill Commons Internal Medicine)
• Novant Health Medical Group, LLC (NHMG Bariatric Clinics)
• Novant Health Prep II LLC (Surgical Specialists of Charlotte, a Novant Health network provider - Huntersville)
• Novant Health Sports & Performance Medicine
• Novant Medical Group Inc (Novant Health Psychiatric Associates)
• Novant Medical Group Inc (Novant Health Lakeside Physical Therapy & Sports Medicine)
• Novant Medical Group Inc (Novant Health Huntersville Obstetrics and Gynecology)

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