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

Novant Health Medical Group, LLC

Organization Family Medicine Physician · NPI 1043992100

Novant Health Medical Group, LLC provides Family Medicine Physician services in Winston Salem, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

114 W 30th St Ste 800
Winston Salem, NC 27105-4304
Phone: (336) 277-2680
Fax: (336) 277-2689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043992100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rsc Manager · (336) 515-7085
Other names Novant Health Family Medicine Shorefair; Novant Health Family Medicine Shorefair
NPI enumeratedAugust 7, 2023
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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