NOVANT HEALTH MEDICAL GROUP LLC NPI 1235458985

NPI Information

NPI: 1235458985
Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: NOVANT HEALTH PRIMARY CARE PARTNERS
CLIA Number: 34D2010275
Address: 10500 LIGON MILL RD
SUITE 113
WAKE FOREST, NC
ZIP 27587
Phone: (919) 570-5705

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is a family medicine in Wake Forest, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1235458985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Primary Care Partners.

The provider's business location address is:

10500 LIGON MILL RD
SUITE 113
WAKE FOREST, NC
ZIP 27587-576
Phone: (919) 570-5705
Fax: (919) 570-5710

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D2010275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 7/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		2005-01578	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5914970	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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