OrganizationNovant Health Medical Group, Llc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104(336) 659-8703PECOS EnrollmentBased on the most recent information from CMS, provider Novant Health Medical Group, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376092056Provider TypeOrganizationFull NameNovant Health Medical Group, LlcOther Name<Unavail>SubpartNoEnumeration Date9/23/2016Last Updated7/10/2024Contact InformationPractice LocationPractice Address1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104Phone(336) 659-8703Fax(336) 659-8704Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(336) 659-8703Fax(336) 659-8704Authorized OfficialNameWalton, Leea Jeanine (Rcs Manager)Phone(704) 316-6081Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer