MEDICARE: NOVANT HEALTH MEDICAL GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician
3	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1205177045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVANT HEALTH MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-384-9900
Fax Number	:	704-384-9919

Provider Business Practice Location Address
First Line	:	11840 SOUTHMORE DR STE 201
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0785
Country	:	US
Telephone Number	:	704-384-9900
Fax Number	:	704-384-9919

Authorized Official
Title or Position	:	RCS MANAGER
Name	:	LEEA JEANINE WALTON
Credential	:
Telephone Number	:	704-316-6081

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	06/19/2024

Similar Medicare Providers

1083015028 — NOVANT HEALTH MEDICAL GROUP, LLC
Practice Location Address:

11840 SOUTHMORE DR STE 201
CHARLOTTE, NC
28277-0785

Practice Phone: 704-316-1220
Practice Fax: 704-316-1230

1154196020 — FD BILLING LLC
Practice Location Address:

11840 SOUTHMORE DR STE 150
CHARLOTTE, NC
28277-0785

Practice Phone: 704-246-6051
Practice Fax:

1326003419 — MEDICORPCARE, INC
Practice Location Address:

1817 WATLINGTON DR
CHARLOTTE, NC
28270-0785

Practice Phone: 775-205-4828
Practice Fax: 775-743-5983

1174793780 — NORTHLAKE CHIROPRACTIC PC
Practice Location Address:

9325 CENTER LAKE DR STE 150
CHARLOTTE, NC
28216-0785

Practice Phone: 704-494-4250
Practice Fax: 704-494-4256

1720518244 — NATIELA WILSON
Practice Location Address:

7816 HARRINGTON WOODS RD
CHARLOTTE, NC
28269-0785

Practice Phone: 980-355-3737
Practice Fax:

1487171435 — LINDSAY ALISON BIERWERT L. AC.
Practice Location Address:

9325 CENTER LAKE DR STE 150
CHARLOTTE, NC
28216-0785

Practice Phone: 704-494-4250
Practice Fax:

Directions to “NOVANT HEALTH MEDICAL GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.