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NOVANT MEDICAL GROUP INC. NPI 1487739058


NPI Information

NPI: 1487739058
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH WALKER PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0908109

Address:
1918 RANDOLPH RD
SUITE 700
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-1056
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NOVANT MEDICAL GROUP, INC. is a pediatrics in Charlotte, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NOVANT MEDICAL GROUP, INC. NPI is 1487739058. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Walker Pediatrics.

The provider's business location address is:

1918 RANDOLPH RD
SUITE 700
CHARLOTTE, NC
ZIP 28207-100
Phone: (704) 384-1056
Fax: (704) 384-1046

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-1056.

The CLIA number assigned to this NPI record is 34D0908109 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/6/2017.


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
1208000000XPediatricsNORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPB213MEDICAIDSOUTH CAROLINA
2018MFOTHERNORTH CAROLINABCBS NC
35905369MEDICAIDNORTH 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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