NOVANT HEALTH PIEDMONT NORTH CAROLINA MEDICAL GROUP, LLC
NPI 1760282487
Orthopaedic Surgery in Greensboro, NC

NPI Status: Active since March 13, 2025

Contact Information

2105 BRAXTON LN STE 101
GREENSBORO, NC
ZIP 27408
Phone: (336) 333-6306
Fax: (336) 333-6309

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 34D2272218
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 11-15-2026

About NOVANT HEALTH PIEDMONT NORTH CAROLINA MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Novant Health Piedmont North Carolina Medical Group, Llc, a provider established in Greensboro, North Carolina operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1760282487 assigned on March 2025. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated April 2025. Novant Health Piedmont North Carolina 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 . The authorized official of this NPI record is Leea Walton (Rcs Manager)

NPI
1760282487
Provider Legal Name
NOVANT HEALTH PIEDMONT NORTH CAROLINA MEDICAL GROUP, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2105 BRAXTON LN STE 101 GREENSBORO, NC 27408
Location Phone
(336) 333-6306
Location Fax
(336) 333-6309
Mailing Address
PO BOX 604345 CHARLOTTE, NC 28260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2025
Last Update Date
04-21-2025
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

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.

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 WALTON

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(336) 515-7085

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
34D2272218
Facility Type
Other - URGENT CARE
Certificate Effective Date
November 16, 2024
Certificate Expiration Date
November 15, 2026
Laboratory Director
KEVIN J. CORRIGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Piedmont North Carolina Medical Group, Llc 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 PIEDMONT NORTH CAROLINA MEDICAL GROUP, LLC

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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.
1760282487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120484416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 4 + 8 + 4 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1760282487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073030102 BETHANY MARIE FLORES DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1770734592 HEATHER LYNN SANINOCENCIO DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1568982734 ALEXA R GEARY DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1689209249 JOSHUA BLAKE BARBER DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1629670559 ALISON NICOLE FOX DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1861769523MS. JENNIFER LYNN CZINSKY P.A.
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1154822468 KATELYN WELCH PA-C
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1114512100 SARA CAYLIN TOMLINSON PA-C
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1881276152 DILLON WALKER HIATT DPT
Individual
Physical Therapist2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 458-3694
1063477107 COLLEEN PATRICIA MAHAR PA
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1467446039MR. MAX WILLIAM COHEN M.D.
Individual
Orthopaedic Surgery2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1548344211 JOSHUA ANTHONY CARUSO PA
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1548429871DR. THOMAS ROBERT SAULLO M.D.
Individual
Physical Medicine & Rehabilitation2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1588198477 AKASH NITIN PATEL D.O.
Individual
Physical Medicine & Rehabilitation2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1760852586 KRISTYN LYNNE HEAGEN P.A.
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1851177505 KATELYN ROSE MOFFO PA-C
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1881889269 RUBEN TORREALBA M.D.
Individual
Orthopaedic Surgery2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306
1932704186 CAROLYN KELLER PA-C
Individual
Physician Assistant2105 BRAXTON LN STE 101
GREENSBORO, NC 27408
(336) 333-6306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760282487, enumerated in the NPI registry as an "organization" on March 13, 2025

The provider is located at 2105 Braxton Ln Ste 101 Greensboro, Nc 27408 and the phone number is (336) 333-6306

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider's CLIA number is 34D2272218 for a "other - urgent care" 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 March 13, 2025. 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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