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 1093976474

Novant Health Medical Group, LLC provides Family Medicine Physician services in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
2
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

5325 Vinning St NW Ste 101
Concord, NC 28027-2956
Phone: (704) 316-1040
Fax: (704) 316-1041
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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 (NC)
Internal Medicine Physician Taxonomy 207R00000X (NC)

Record details

NPI number1093976474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Lakeside Primary Care; Novant Health Lakeside Primary Care
NPI enumeratedJune 19, 2008
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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