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	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1710715479
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9920 KINCEY AVE STE 120
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-2401
Country	:	US
Telephone Number	:	704-316-6360
Fax Number	:	704-316-6361

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

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	11/20/2024

Similar Medicare Providers

1114752953 — JESSICA FRANSICA SALINAS FNP-C
Practice Location Address:

9920 KINCEY AVE STE 140
HUNTERSVILLE, NC
28078-2401

Practice Phone: 704-912-1124
Practice Fax:

1306211156 — MRS. KELLEY PRIVETT KURTH RN, MSN, AGNP-C
Practice Location Address:

9920 KINCEY AVE STE 140
HUNTERSVILLE, NC
28078-2401

Practice Phone: 704-820-4197
Practice Fax:

1144983602 — KRISTIANNA KATHERINE MAYO NP
Practice Location Address:

9920 KINCEY AVE STE 140
HUNTERSVILLE, NC
28078-2401

Practice Phone: 704-820-4197
Practice Fax:

1629260559 — MESHA HARRIS WALKER M.S.
Practice Location Address:

16455 STATESVILLE RD
HUNTERSVILLE, NC
28078-7135

Practice Phone: 704-801-3719
Practice Fax:

1588411383 — ROCKWELL DEVELOPMENT CENTER, INC
Practice Location Address:

11330 VANSTORY DR STE 115
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-987-2096
Practice Fax: 704-919-5590

1811338551 — MARY M. MARTIN-VAVRA MS, FNP
Practice Location Address:

16415 NORTHCROSS DR STE B
HUNTERSVILLE, NC
28078-5001

Practice Phone: 704-775-6029
Practice Fax: 607-547-3844

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.