NOVANT HEALTH KANNAPOLIS FAMILY MEDICINE
NPI 1144514662
Family Medicine in Kannapolis, NC

NPI Status: Active since June 01, 2011

Contact Information

1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC
ZIP 28083
Phone: (704) 316-1886
Fax: (704) 316-1887

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 34D2026653
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2025

About NOVANT HEALTH KANNAPOLIS FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Novant Health Kannapolis Family Medicine, a primary care provider established in Kannapolis, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1144514662 assigned on June 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Novant Health Kannapolis Family Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Kannapolis Family Medicine. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)

NPI
1144514662
Provider Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Other Organization Name
NOVANT HEALTH KANNAPOLIS FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1035 DALE EARNHARDT BLVD KANNAPOLIS, NC 28083
Location Phone
(704) 316-1886
Location Fax
(704) 316-1887
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(704) 384-7840
Mailing Fax
(704) 316-1887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2011
Last Update Date
07-09-2024
Code Navigator

A primary care provider (PCP) like Novant Health Kannapolis Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Silver Standard | with Novant Health - EPO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Bronze Standard | Limited Statewide Doctors - POS
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEA JEANINE WALTON

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(704) 316-6081

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2026653
Facility Type
Physician Office
Certificate Effective Date
May 16, 2023
Certificate Expiration Date
June 30, 2025
Laboratory Director
LESTER BROWN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Novant Health Kannapolis Family Medicine after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144514662
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841018612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 1 + 8 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1144514662 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639193196 CHRISTOPHER J CAGGIANO SR. PA-C, MPAS
Individual
Physician Assistant1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 933-2266
1962648873PHYTCARE LLC
Organization
Physical Therapist1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 933-2266
1215209820ROWAN DIAGNOSTIC CLINIC
Organization
Allergy & Immunology1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 633-7220
1851635460NOVANT MEDICAL GROUP, INC
Organization
Orthopaedic Surgery1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 216-5633
1629447875MRS. AMANDA FURR UPCHURCH FNP-C
Individual
Nurse Practitioner1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 316-1886
1255399374CANNON FAMILY MEDICINE
Organization
Point of Service1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 933-2266
1164418331DR. LESTER G BROWN M.D.
Individual
Family Medicine1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 316-1886
1053978213 KATIE LYNN SASS MSN, FNP
Individual
Nurse Practitioner1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 316-1886
1477198091 RYAN THOMAS CANNICI NP
Individual
Nurse Practitioner1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 316-1886
1730570136 IVETTE DIANELLE CINTRON-CUBERO FNP-C
Individual
Nurse Practitioner1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC 28083
(704) 316-1886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144514662, enumerated in the NPI registry as an "organization" on June 01, 2011

The provider is located at 1035 Dale Earnhardt Blvd Kannapolis, Nc 28083 and the phone number is (704) 316-1886

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2026653 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 01, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.