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

Novant Health Medical Group LLC

Organization Vascular Surgery Physician · NPI 1275480790

Novant Health Medical Group LLC is a Vascular Surgery Physician in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
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

125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Phone: (704) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1275480790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Manager · (336) 515-7085
Other names Novant Health Heart & Vascular - Elizabeth (Vascular Surgery)
NPI enumeratedMarch 13, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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