NOVANT HEALTH MEDICAL GROUP LLC NPI 1366549891

NPI Information

  • NPI: 1366549891
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEATLH INPATIENT PEDIATRIC SPECIALITSTS
  • Address: 200 HAWTHORNE LN
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (704) 384-4021

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC 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 HEALTH MEDICAL GROUP, LLC NPI is 1366549891. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Heatlh Inpatient Pediatric Specialitsts.

The provider's business location address is:

200 HAWTHORNE LN
CHARLOTTE, NC
ZIP 28204-515
Phone: (704) 384-4021
Fax: (704) 384-5601

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 enumeration date for this NPI number is 9/19/2006 and was last updated on 6/24/2024.

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
1208000000XPediatricsYes
2208M00000XHospitalistNo

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
1NPB189MEDICAIDSOUTH CAROLINA
25905265MEDICAIDNORTH CAROLINA
3018KFOTHERNORTH CAROLINABCBS NC

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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