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 Pediatrics Physician · NPI 1366549891

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

In the registry since
2006
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

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-4021
Fax: (704) 384-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1366549891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Heatlh Inpatient Pediatric Specialitsts; Novant Heatlh Inpatient Pediatric Specialitsts
NPI enumeratedSeptember 19, 2006
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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