NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE – NPI #1710051123
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE is a provider located in SHALLOTTE, NC. NPPES has assigned the NPI number 1710051123 to NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE” is a dba name, the actual legal business name for this organization is NOVANT HEALTH MEDICAL GROUP, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1710051123
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Doing Business As (dba): NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE
Primary location
5145 SELLERS RD
SUITE A
SHALLOTTE, NC 28470-3405
Phone: (910) 754-4441 Fax: (910) 754-5307
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (910) 754-4441 Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Jul 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS NCNC018N9
medicaidNC5905786
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.