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 Obstetrics & Gynecology Physician · NPI 1063753325

Novant Health Medical Group, LLC is an Obstetrics & Gynecology Physician in Matthews, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
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

1450 Matthews Township Pkwy Ste 300
Matthews, NC 28105-2387
Phone: (704) 321-1077
Fax: (704) 321-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1063753325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Southeast Ob/Gyn; Novant Health Southeast Ob/Gyn
NPI enumeratedMarch 12, 2013
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing addressPo Box 602362, Charlotte, NC 28260-2362

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