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

Novant Health Medical Group, LLC

Organization Urology Physician · NPI 1629720453

Novant Health Medical Group, LLC is an Urology Physician in Clemmons, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

7210 Village Medical Cir Ste 225
Clemmons, NC 27012-8035
Phone: (336) 245-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1629720453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Urology; Novant Health Urology
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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