NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY – NPI #1083986111
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY is a provider located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1083986111 to NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY on February 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH TRIAD OBSTETRICS & GYNECOLOGY” 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 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Jun 21, 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 TRIAD OBSTETRICS & GYNECOLOGY below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1083986111
Enumeration Date

(more than 14 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 TRIAD OBSTETRICS & GYNECOLOGY
Primary location
2909 MAPLEWOOD AVENUE
WINSTON-SALEM, NC 27103
Phone: (336) 277-0340 Fax: (336) 277-0359
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (336) 277-0340 Fax: (336) 277-0359
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Jun 21, 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 TRIAD OBSTETRICS & GYNECOLOGY

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
otherFORMER NC MEDICAID NUMBERNC5919510
medicaidNC1083986111
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
207V00000X
- Obstetrics & Gynecology (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.