Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group, LLC

Organization Dermatology Physician · NPI 1043021686

Novant Health Medical Group, LLC provides Dermatology Physician services in Winston Salem, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2025 Frontis Plaza Blvd Ste 120
Winston Salem, NC 27103-5663
Phone: (336) 774-3740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1043021686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Premier Dermatology; Novant Health Premier Dermatology
NPI enumeratedJanuary 14, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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