OrganizationActive
Novant Health Medical Group, LLC
NPI 1366781445 · Colon & Rectal Surgery Physician · Clemmons, NC
Provider details
- NPI number
- 1366781445
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7210 Village Medical Cir Ste 310
Clemmons, NC 27012-8041
Phone: (336) 277-4075
Fax: (336) 277-4070
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Colon & Rectal Clinic
Additional practice locations (1)
- 1471 Jag Branch Blvd Unit 105Kernersville, NC 27284-6963Phone: (336) 277-4075Fax: (336) 515-7219
Registry dates
- Enumerated
- 2013-02-08
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.