Novant Health Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP, LLC

Practice address

9930 Kincey Ave Ste 210
Huntersville, NC 28078-6541

Phone

(704) 316-5560

Fax

(704) 316-5561

NPI assigned

Mar 8, 2016

Organization subpart

No

Name

Leea Jeanine Walton

Title

RCS Manager

Phone

(704) 316-6081

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

• Aram Alexanian, M.D.

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1659359941
  NPD Family Medicine
• 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 Family Medicine
• 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
• Blair Keith Troutman, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1124416110
  NPD
• Kristen Elizabeth Vance, PA-C

  • Physician Assistant
  • Cornelius, NC
  • NPI 1407372568
  NPD
• Kashmira Pramod Wankhedkar, M.D.

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1063761351
  NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NC

Locations

• Novant Health Primary Care Gilead Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2024.

{
    "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 Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Prep II LLC
• Novant Health Sports & Performance Medicine
• Novant Medical Group Inc
• Novant Medical Group Inc
• Novant Medical Group Inc

• All providers in Huntersville, NC
• 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.