OrganizationActive
Novant Health Medical Group, LLC
NPI 1235458985 · Family Medicine Physician · Wake Forest, NC
Provider details
- NPI number
- 1235458985
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Novant Medical Group, Inc
- Organization subpart
- Yes
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
- License
- 2005-01578 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10500 Ligon Mill Rd
Suite 113
Wake Forest, NC 27587-4576
Phone: (919) 570-5705
Fax: (919) 570-5710
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Primary Care Partners
- Doing business as
- Novant Health Primary Care Partners
Registry dates
- Enumerated
- 2010-05-20
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.