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

Novant Health Medical Group, LLC

Organization Family Medicine Physician · NPI 1255187928

Novant Health Medical Group, LLC provides Family Medicine Physician services in Mooresville, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone: (704) 663-3063
Fax: (704) 663-4873
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255187928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Family Medicine Liberty Park
NPI enumeratedApril 24, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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