NOVANT HEALTH MEDICAL GROUP LLC NPI 1639695133

NPI Information

  • NPI: 1639695133
  • Provider Name: NOVANT HEALTH MEDICAL GROUP, LLC
  • Classification: Pediatrics - 2080S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH PEDIATRIC SPORTS MEDICINE
  • Address: 201 QUEENS RD
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (704) 316-1070

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NPI Details

NOVANT HEALTH MEDICAL GROUP, LLC is a sports medicine pediatrics in Charlotte, NC. The provider is a pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NOVANT HEALTH MEDICAL GROUP, LLC NPI is 1639695133. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pediatric Sports Medicine.

The provider's business location address is:

201 QUEENS RD
CHARLOTTE, NC
ZIP 28204
Phone: (704) 316-1070

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

The enumeration date for this NPI number is 8/16/2017 and was last updated on 7/11/2024.

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
12080S0010XPediatricsSports MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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