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

Novant Health Medical Group, LLC

Organization Pediatrics Physician · NPI 1255002721

Novant Health Medical Group, LLC provides Pediatrics Physician services in Clemmons, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
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

5175 Old Clemmons School Rd
Clemmons, NC 27012-9087
Phone: (336) 718-3960
Fax: (336) 766-3691
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1255002721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Twin City Pediatrics; Novant Health Twin City Pediatrics
NPI enumeratedSeptember 24, 2021
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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