Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novant Health Medical Group, LLC

Organization Pediatric Gastroenterology Physician · NPI 1003966185

Novant Health Medical Group, LLC is a Pediatric Gastroenterology Physician in Charlotte, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Randolph Rd Ste 210
Charlotte, NC 28207-1109
Phone: (704) 316-5060
Fax: (704) 316-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2711 Randolph Rd, Charlotte, NC 28207-2027 — (704) 316-5060
  • 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 — (704) 316-5060

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X (NC)

Record details

NPI number1003966185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Edi Manager · (704) 316-6081
Other names Novant Health Pediatric Gastroenterology; Novant Health Pediatric Gastroenterology
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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