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

Novant Health Medical Group, LLC

Organization Pediatric Neurodevelopmental Disabilities Physician · NPI 1366409492

Novant Health Medical Group, LLC is a Pediatric Neurodevelopmental Disabilities Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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

1900 Randolph Rd Ste 1010
Charlotte, NC 28207-1117
Phone: (704) 384-1390
Fax: (704) 384-1063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X (NC)
Clinical Neurophysiology Physician Taxonomy 2084N0600X

Record details

NPI number1366409492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatric Neurology & Sleep
NPI enumeratedMay 1, 2006
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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