Novant Health University Family Physicians
LBN: Novant Health Medical Group, Llc
Novant Health University Family Physicians is an health care organization with primary practice located at 10810 Mallard Creek Rd , Charlotte NC 28262-9786. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 510-8000, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
10810 Mallard Creek Rd
Charlotte NC 28262-9786
Phone: (704) 510-8000
Fax: (704) 510-8006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | North Carolina |
Profile Details
| NPI number | 1336181452 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health University Family Physicians |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 9th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336181452 | NPPES |
| North Carolina | Other | 015H7 | BCBS NC |
| North Carolina | MEDICAID | 89015H7 | BCBS NC |
| North Carolina | Other | DE6891 | BCBS NC |
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