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 1962048512

Novant Health Medical Group, LLC is a Family Medicine Physician in Winston Salem, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

1400 Westgate Ctr Dr Ste 110
Winston Salem, NC 27103-3104
Phone: (980) 302-9307
Fax: (704) 316-9859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1962048512
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovant Health Medical Group, LLC
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Diabetes & Nutrition; Novant Diabetes & Nutrition
NPI enumeratedNovember 19, 2019
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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