| NPI | 1356394308 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-18 |
| Last Updated | 2026-03-30 |
| Authorized Official | Leea Walton RCS Manager Phone: 7043166081 |
| Mailing Address | Po Box 60447 Charlotte, NC 28260-0447 United States Phone: (704) 384-1775 | Fax: (704) 384-1776 📍 View Map |
| Primary Practice Address | 19485 Old Jetton Rd Ste 100 Cornelius, NC 28031-6583 United States Phone: (704) 384-1775 | Fax: (704) 384-1776 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 0215V | BCBS-NC |
| MEDICAID | NC | 5903870 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 225100000X – Physical Therapist | - | - |
| No | 207QS0010X – Family Medicine, Sports Medicine | NC | - |
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1356394308
Novant Health Medical Group, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356394308. The primary specialty listed is Family Medicine. The organization is located in Cornelius, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356394308?
NPI 1356394308 belongs to Novant Health Medical Group, Llc, a Family Medicine in Cornelius, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356394308 active?
The current status of NPI 1356394308 in the NPPES registry is Active. The record was last updated on 2026-03-30.
What specialty is NPI 1356394308?
NPI 1356394308 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356394308?
You can verify NPI 1356394308 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356394308?
The primary practice address on file for NPI 1356394308 is 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356394308 issued?
NPI 1356394308 was first issued (enumerated) on 2006-05-18. The NPPES record was last updated on 2026-03-30.
Practice Location Map
Novant Health Medical Group, Llc is located at 19485 Old Jetton Rd Ste 100, Cornelius, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Novant Health Medical Group, Llc. All records sourced from the CMS NPPES registry.