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

Novant Medical Group Inc

Organization Family Medicine Physician · NPI 1104152024

Novant Medical Group Inc is a Family Medicine Physician in Salisbury, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 S Salisbury Gq Ave
Salisbury, NC 28146-8150
Phone: (704) 279-1679
Fax: (704) 279-1677
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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
Pediatrics Physician Taxonomy 208000000X (NC)

Record details

NPI number1104152024
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovant Medical Group, Inc
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Granite Quarry Internal Medicine & Pediatrics; Novant Health Granite Quarry Internal Medicine & Pediatrics
NPI enumeratedOctober 28, 2009
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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