NOVANT HEALTH MEDICAL GROUP LLC NPI 1275586380

NPI Information

  • NPI: 1275586380
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH HUNTERSVILLE PEDIATRICS & INTERNAL MEDICINE
  • CLIA Number: 34D1101243
  • Address: 16525 HOLLY CREST LN STE 150
    HUNTERSVILLE, NC
    ZIP 28078
  • Phone: (704) 384-8720

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is an internal medicine in Huntersville, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1275586380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Huntersville Pediatrics & Internal Medicine.

The provider's business location address is:

16525 HOLLY CREST LN STE 150
HUNTERSVILLE, NC
ZIP 28078-911
Phone: (704) 384-8720
Fax: (704) 384-8747

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D1101243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/20/2024.

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
1207R00000XInternal MedicineYes

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
1890107LMEDICAIDNORTH CAROLINA
2CC5118OTHERNORTH CAROLINARAILROAD MEDICARE
30107LOTHERNORTH CAROLINABCBS

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: 3/30/2025

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