Provider Type Icon

NOVANT MEDICAL GROUP INC NPI 1033675079


NPI Information

NPI: 1033675079
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH PEDIATRIC NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
1918 RANDOLPH RD STE 320
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-1390
Get Directions

NOVANT MEDICAL GROUP INC is a neurology with special qualifications in child neurology psychiatry neurology in Charlotte, NC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. NOVANT MEDICAL GROUP INC NPI is 1033675079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pediatric Neurology.

The provider's business location address is:

1918 RANDOLPH RD STE 320
CHARLOTTE, NC
ZIP 28207-109
Phone: (704) 384-1390
Fax: (704) 384-1063

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 8/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.