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 1962582023

Novant Health Medical Group, LLC is a Family Medicine Physician in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

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

7752 Gateway Ln NW Ste 100
Concord, NC 28027-4421
Phone: (704) 316-4950
Fax: (704) 316-4951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NC)
Internal Medicine Physician Taxonomy 207R00000X (NC)
Pediatrics Physician Taxonomy 208000000X (NC)

Record details

NPI number1962582023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Lakeside Primary Care; Novant Health Lakeside Primary Care
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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