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 Adolescent Medicine Physician · NPI 1386019891

Novant Health Medical Group, LLC is a Pediatric Adolescent Medicine Physician in Waxhaw, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3614 Providence Rd S Ste 101
Waxhaw, NC 28173-6309
Phone: (704) 384-8460
Fax: (704) 384-8465
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1386019891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Child And Adolescent Medical Group; Novant Health Child And Adolescent Medical Group
NPI enumeratedDecember 9, 2015
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447