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

Novant Health Medical Group, LLC

Organization Pediatrics Physician · NPI 1164137766

Novant Health Medical Group, LLC is a Pediatrics Physician in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 384-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1164137766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Enrollment Director · (704) 303-7517
Other names Novant Health Pediatric Genetics; Novant Health Pediatric Genetics
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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