NOVANT HEALTH MEDICAL GROUP LLC
NPI 1205884970
Obstetrics & Gynecology in Bolivia, NC
NPI Status: Active since May 05, 2006
Contact Information
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC
ZIP 28422
Phone: (910) 721-4050
Fax: (910) 721-4051
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 34D2113253
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-31-2027
About NOVANT HEALTH MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Novant Health Medical Group Llc, a women's health care provider established in Bolivia, North Carolina operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1205884970 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated March 2025. Novant Health Medical Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1205884970
- Provider Legal Name
- NOVANT HEALTH MEDICAL GROUP LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422
- Location Phone
- (910) 721-4050
- Location Fax
- (910) 721-4051
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (910) 721-4050
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 03-12-2025
- Code Navigator
Women's health care providers like Novant Health Medical Group Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Secondary Locations
- 1456 N Howe St Ste 201
Southport, NC 28461
(910) 721-4050 - 509 Olde Waterford Way Ste 200
Leland, NC 28451
(910) 721-4050 - 75 Emerson Bay Rd Ste 104
Carolina Shores, NC 28467
(910) 721-4050
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- 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
- 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
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5903335 | MEDICAID (05) | NC |
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
- 34D2113253
- Facility Type
- Physician Office
- Certificate Effective Date
- February 01, 2025
- Certificate Expiration Date
- January 31, 2027
- Laboratory Director
- STEVEN NUNNS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Medical Group Llc 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 | 2 | 0 | 5 | 8 | 8 | 4 | 9 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 16 | 8 | 8 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 6 + 8 + 8 + 9 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1205884970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841857828 | KIYA NICHOLE FOX Individual | Advanced Practice Midwife | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1881155034 | MEGAN CHILDRES FNP Individual | Nurse Practitioner | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1194222869 | JESSICA JANE BENTLEY CNM Individual | Advanced Practice Midwife | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1528513223 | SARAH BETH KOENIGSEKER CNM Individual | Advanced Practice Midwife | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1134583768 | STEVEN CHRISTOPHER NUNNS M.D. Individual | Obstetrics & Gynecology | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1780652909 | MICHELE POLIDORO MD Individual | Obstetrics & Gynecology | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1528720729 | NICOLE AMBER ROSE CERVANTES CNM Individual | Advanced Practice Midwife | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
| 1629204870 | DENISE ANNA-MARIE DAVIES CNM Individual | Advanced Practice Midwife | 584 HOSPITAL DR NE UNIT B BOLIVIA, NC 28422 (910) 721-4050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205884970, enumerated in the NPI registry as an "organization" on May 05, 2006
The provider is located at 584 Hospital Dr Ne Unit B Bolivia, Nc 28422 and the phone number is (910) 721-4050
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2113253 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 May 05, 2006. 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.