NOVANT HEALTH BLUE RIDGE MEDICAL ASSOCIATES
NPI 1154693018
Internal Medicine in Winston Salem, NC
NPI Status: Active since February 07, 2012
Contact Information
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 774-9000
Fax: (336) 774-9012
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 34D0985105
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-07-2026
About NOVANT HEALTH BLUE RIDGE MEDICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Novant Health Blue Ridge Medical Associates, an internist established in Winston Salem, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1154693018 assigned on February 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Novant Health Blue Ridge Medical Associates 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 Blue Ridge Medical Associates. The authorized official of this NPI record is Mr. Geoffrey Gardner (Vp Finance, Nmg)
- NPI
- 1154693018
- Provider Legal Name
- NOVANT MEDICAL GROUP INC
- Other Organization Name
- NOVANT HEALTH BLUE RIDGE MEDICAL ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103
- Location Phone
- (336) 774-9000
- Location Fax
- (336) 774-9012
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 384-7840
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2012
- Last Update Date
- 11-29-2013
- Code Navigator
An internist like Novant Health Blue Ridge Medical Associates is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
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:
- 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.
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
- 34D0985105
- Facility Type
- Physician Office
- Certificate Effective Date
- December 08, 2024
- Certificate Expiration Date
- December 07, 2026
- Laboratory Director
- BETH L. HOLTHUSEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Blue Ridge Medical Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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. | |||||||||
| 1 | 1 | 5 | 4 | 6 | 9 | 3 | 0 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 12 | 9 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 2 + 9 + 6 + 0 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1154693018 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1811989072 | DEIRDRE A HERRINGTON MD, LTD Organization | Internal Medicine | 201 EXECUTIVE PARK BLVD WINSTON-SALEM, NC 27103 (336) 774-0290 |
| 1003895889 | D R BLAND MD PA Organization | Obstetrics & Gynecology (Gynecology) | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1972639854 | TONI WYMER, M.D. LTD Organization | Internal Medicine | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-0920 |
| 1225212624 | DR. ANTOINETTE WYMER MD Individual | Internal Medicine | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1346424744 | DR. DEIRDRE HERRINGTON MD Individual | Internal Medicine | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1497939995 | DR. DEIRDRE R BLAND MD Individual | Obstetrics & Gynecology | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1033160098 | DR. LINN HAYNES PARSONS MD Individual | Obstetrics & Gynecology (Gynecology) | 201 EXECUTIVE PARK BLVD WINSTON-SALEM, NC 27103 (336) 774-9000 |
| 1467424515 | BETH L. HOLTHUSEN PA Individual | Physician Assistant | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1538159967 | DR. LYNN BIVINS ANDERSON MD Individual | Obstetrics & Gynecology | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
| 1669879565 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Obstetrics & Gynecology | 201 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 (336) 774-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154693018, enumerated in the NPI registry as an "organization" on February 07, 2012
The provider is located at 201 Executive Park Blvd Winston Salem, Nc 27103 and the phone number is (336) 774-9000
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0985105 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 07, 2012. 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.