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

Novant Health Medical Group, LLC

Organization Obstetrics & Gynecology Physician · NPI 1558234765

Novant Health Medical Group, LLC is an Obstetrics & Gynecology Physician in Fort Mill, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
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

502 6th Baxter Xing
Fort Mill, SC 29708-6596
Phone: (704) 377-5675
Fax: (803) 992-8077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1558234765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Manager · (336) 515-7085
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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