NOVANT HEALTH SPINE SPECIALISTS
NPI 1568808855
Physical Medicine & Rehabilitation - Pain Medicine in Winston Salem, NC
NPI Status: Active since May 14, 2013
Contact Information
190 KIMEL PARK DR STE 140
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-2225
Fax: (336) 277-2231
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- Accepts Insurance
- CLIA Number: 34D2134505
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-02-2025
About NOVANT HEALTH SPINE SPECIALISTS
This page provides the complete NPI Profile along with additional information for Novant Health Spine Specialists, a provider established in Winston Salem, North Carolina operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1568808855 assigned on May 2013. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated one year ago. Novant Health Spine Specialists 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 Spine Specialists. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)
- NPI
- 1568808855
- Provider Legal Name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Other Organization Name
- NOVANT HEALTH SPINE SPECIALISTS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103
- Location Phone
- (336) 277-2225
- Location Fax
- (336) 277-2231
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (336) 277-2225
- Mailing Fax
- (336) 277-2231
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2013
- Last Update Date
- 06-24-2024
- Code Navigator
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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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
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 |
|---|---|---|---|
| 1568808855 | 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
- 34D2134505
- Facility Type
- Physician Office
- Certificate Effective Date
- August 03, 2023
- Certificate Expiration Date
- August 02, 2025
- Laboratory Director
- JEFF PEACOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Spine Specialists 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 SPINE SPECIALISTS
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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 | 5 | 6 | 8 | 8 | 0 | 8 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 16 | 0 | 16 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 6 + 0 + 1 + 6 + 8 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1568808855 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1629074323 | DENNIS GEORGE LERIS PA-C Individual | Physician Assistant | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1194199349 | JAKE ANDREW COFFMAN PA-C Individual | Physician Assistant | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1891740569 | MRS. DEANA PINGLEY SMART P.A. Individual | Physician Assistant | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1790259984 | CHRISTINE ELIZABETH ZDEB NP Individual | Nurse Practitioner | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1316794845 | EMILY ROSE MARSHALL LYNCH MSN, APRN, FNP-C Individual | Nurse Practitioner | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1790266310 | ASHLEIGH WYNNE LUCAS AGNP-C Individual | Nurse Practitioner | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1093789414 | MICHAEL SCOTT BLAU PA-C Individual | Physician Assistant | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (336) 277-2225 |
| 1760105407 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Surgery | 190 KIMEL PARK DR STE 140 WINSTON SALEM, NC 27103 (704) 384-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568808855, enumerated in the NPI registry as an "organization" on May 14, 2013
The provider is located at 190 Kimel Park Dr Ste 140 Winston Salem, Nc 27103 and the phone number is (336) 277-2225
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, 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 34D2134505 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 May 14, 2013. 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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