NOVANT HEALTH BRAIN & SPINE SURGERY
NPI 1275996571
Neurological Surgery in Kernersville, NC

NPI Status: Active since April 04, 2016

Contact Information

1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 515-7336
Fax: (336) 515-7339

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  • Organization
  • Neurological Surgery
  • Accepts Insurance
  • CLIA Number: 34D2210841
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-24-2027

About NOVANT HEALTH BRAIN & SPINE SURGERY

This page provides the complete NPI Profile along with additional information for Novant Health Brain & Spine Surgery, a provider established in Kernersville, North Carolina operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1275996571 assigned on April 2016. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Novant Health Brain & Spine Surgery 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 Brain & Spine Surgery. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)

NPI
1275996571
Provider Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Other Organization Name
NOVANT HEALTH BRAIN & SPINE SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1730 KERNERSVILLE MEDICAL PKWY STE 204 KERNERSVILLE, NC 27284
Location Phone
(336) 515-7336
Location Fax
(336) 515-7339
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(336) 765-6637
Mailing Fax
(336) 515-7339
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2016
Last Update Date
06-20-2024
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Location Map

Secondary Locations

  • 445 Pineview Dr Suite 240
    Kernersville, NC 27284
    (336) 765-6637

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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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
34D2210841
Facility Type
Physician Office
Certificate Effective Date
January 25, 2025
Certificate Expiration Date
January 24, 2027
Laboratory Director
DAVID OTOOLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Brain & Spine Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NOVANT HEALTH BRAIN & SPINE SURGERY

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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.
1275996571
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214518912514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 9 + 1 + 2 + 5 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1275996571 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184011843 JENNIFER SUSANNE HARVEY MD
Individual
Family Medicine1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1407176282 SNOW BRENNER DAWS M.D.
Individual
Orthopaedic Surgery1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1316429798MR. THOMAS SCOTT STEELE JR. PA-C
Individual
Physician Assistant1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1285132654MRS. SHELLY LENAY TRUHE STUDENT
Individual
Nurse Practitioner1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1821115619MRS. DANIELLE RENEE ROSS ATC, MA, BS
Individual
Specialist/Technologist (Athletic Trainer)1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1164924858 KAO JALAO LY NP
Individual
Nurse Practitioner1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1457449795MRS. REBECCA DYAN CONO PA
Individual
Physician Assistant1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1659329811DR. DAVID ANDREW O'TOOLE M.D.
Individual
Pain Medicine (Pain Medicine)1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460
1780089482NOVANT HEALTH MEDICAL GROUP, LLC
Organization
Orthopaedic Surgery1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
(336) 277-4460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275996571, enumerated in the NPI registry as an "organization" on April 04, 2016

The provider is located at 1730 Kernersville Medical Pkwy Ste 204 Kernersville, Nc 27284 and the phone number is (336) 515-7336

This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X

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 34D2210841 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 04, 2016. 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].
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