OrganizationNovant Health Medical Group, Llc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104(980) 302-9307PECOS 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 ID1962048512Provider TypeOrganizationFull NameNovant Health Medical Group, LlcOther Name<Unavail>SubpartYesEnumeration Date11/19/2019Last Updated7/15/2024Contact InformationPractice LocationPractice Address1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104Phone(980) 302-9307Fax(704) 316-9859Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWalton, Leea Jeanine (Rcs Manager)Phone(704) 316-6081Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer