NOVANT MEDICAL GROUP INC. NPI 1265488407

NPI Information

NPI: 1265488407
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PEDIATRIC CARDIOLOGY

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
1718 E 4TH ST
SUITE 605
CHARLOTTE, NC
ZIP 28204
Phone: (704) 316-1220
Get Directions

NOVANT MEDICAL GROUP, INC. is a pediatric cardiology pediatrics in Charlotte, NC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. NOVANT MEDICAL GROUP, INC. NPI is 1265488407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pediatric Cardiology.

The provider's business location address is:

1718 E 4TH ST
SUITE 605
CHARLOTTE, NC
ZIP 28204-282
Phone: (704) 316-1220
Fax: (704) 316-1230

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 5/26/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016XK	OTHER	NORTH CAROLINA	BCBS
2	5900388	MEDICAID	NORTH CAROLINA
3	NPB105	MEDICAID	SOUTH CAROLINA

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

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