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 1568400729

Novant Health Medical Group, LLC is a Family Medicine Physician in Waxhaw, North Carolina. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
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

3614 Providence Rd S Ste 100
Waxhaw, NC 28173-6309
Phone: (704) 384-8640
Fax: (704) 384-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 — (704) 384-8640

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1568400729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Waxhaw Family & Sports Medicine; Novant Health Waxhaw Family & Sports Medicine
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Other providers in Waxhaw