NOVANT HEALTH MEDICAL GROUP LLC NPI 1477593960

NPI Information

NPI: 1477593960
Provider Name: NOVANT HEALTH MEDICAL GROUP LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Doing Business As: NOVANT HEALTH RANKIN OB/GYN
Address: 1918 RANDOLPH RD
SUITE 670
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-1620

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NPI Details

NOVANT HEALTH MEDICAL GROUP LLC is an obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NOVANT HEALTH MEDICAL GROUP LLC NPI is 1477593960. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Rankin Ob/gyn.

The provider's business location address is:

1918 RANDOLPH RD
SUITE 670
CHARLOTTE, NC
ZIP 28207-100
Phone: (704) 384-1620
Fax: (704) 384-1626

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 6/7/2006 and was last updated on 6/21/2024.

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
1	207V00000X	Obstetrics & Gynecology			NORTH CAROLINA	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	CC5118	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
2	890275W	MEDICAID	NORTH CAROLINA
3	0275W	OTHER	NORTH CAROLINA	BCBS NC
4	NPA882	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: 11/21/2025

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