| Novant Health Medical Group, Llc | |
|
9615 Kincey Avenue Suite 100 Huntersville NC 28078-9140 | |
| (704) 316-5635 | |
| (704) 316-5640 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 9615 Kincey Avenue, Huntersville, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Medical Group, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Novant Health Medical Group, Llc 9615 Kincey Avenue Suite 100 Huntersville NC 28078-9140 Ph: (704) 316-5635 |
| NPI Number | 1013969674 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013969674 | NPI | - | NPPES |
| 017F5 | Other | NC | BCBS-NC |
| 5902021 | Medicaid | NC | |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Secondary |
| 208000000X | Pediatrics | (North Carolina) | Primary |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16525 Holly Crest Ln Ste 220, Huntersville, NC 28078 Phone: 704-384-1940 Fax: 704-895-5977 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16455 Statesville Rd, Ste 200, Huntersville, NC 28078 Phone: 704-302-8600 | |
Jason Crawford, O.d., Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9710 Sam Furr Rd Unit A, Huntersville, NC 28078 Phone: 901-212-7876 | |
Carolinas Medical Center-northeast Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9625 Northcross Center Ct, Suite 102-e, Huntersville, NC 28078 Phone: 704-403-1311 Fax: 704-403-1357 | |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078 Phone: 844-266-8268 |