NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END – NPI #1861019150
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 MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1861019150 to NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END on July 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END” 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 MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1861019150
Enumeration Date

(about 6 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 MICHAEL JORDAN FAMILY MEDICAL CLINIC - NORTH END
Primary location
2701 STATESVILLE AVE.
CHARLOTTE, NC 28206
Phone: (980) 302-8521 Fax: (980) 302-8525
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: 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.

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.