Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novant Health Medical Group, LLC

Organization Family Medicine Physician · NPI 1356394308

Novant Health Medical Group, LLC is a Family Medicine Physician in Cornelius, North Carolina. Works from 7 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Phone: (704) 384-1775
Fax: (704) 384-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 10816 Black Dog Ln Ste 160, Charlotte, NC 28214-1479 — (704) 316-3970
  • 19830 Zion Ave, Cornelius, NC 28031-8495 — (704) 384-1782
  • 269 Gillman Rd Ste 100, Denver, NC 28037-7923 — (704) 316-4930
  • 14330 Oakhill Park Ln Ste 200b, Huntersville, NC 28078-3407 — (704) 316-1265
  • 6909 Prosperity Church Rd, Huntersville, NC 28078-6698 — (704) 384-1425
  • 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 — (704) 384-7101

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X (NC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1356394308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Lakeside Family Physicians; Novant Health Lakeside Family Physicians
NPI enumeratedMay 19, 2006
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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