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 Cardiovascular Disease Physician · NPI 1083015028

Novant Health Medical Group, LLC is a Cardiovascular Disease Physician in Charlotte, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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

11840 Southmore Dr Ste 201
Charlotte, NC 28277-0785
Phone: (704) 316-1220
Fax: (704) 316-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1083015028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatric Cardiology; Novant Health Pediatric Cardiology
NPI enumeratedSeptember 9, 2014
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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