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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1497187306
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	:	336-765-5221
Fax Number	:	336-765-0430

Provider Business Practice Location Address
First Line	:	7126 VILLAGE MEDICAL CIR
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8004
Country	:	US
Telephone Number	:	336-765-5221
Fax Number	:	336-765-0430

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

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	06/24/2024

Similar Medicare Providers

1922070747 — CAMILLA ELIZABETH HELTON PA
Practice Location Address:

7114 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2440
Practice Fax: 336-893-2470

1578511911 — DR. DAVID ETHAN LEE M.D.
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

1104066117 — MRS. JENNIFER NILAND KERLEY PA-C
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

1578889200 — RICHARD EDWIN HAIGLER MD
Practice Location Address:

7138 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2100
Practice Fax:

1801114343 — DR. JOSHUA COLE MCKINNON M.D.
Practice Location Address:

7130 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2420
Practice Fax: 336-893-2431

1447543632 — UN JU KIM
Practice Location Address:

7114 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2440
Practice Fax: 336-893-2470

1639431307 — BRADLEY WALTON CLARK MD
Practice Location Address:

7114 VILLAGE MEDICAL CIR
CLEMMONS, NC
27012-8004

Practice Phone: 336-893-2440
Practice Fax: 336-893-2470

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.