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 Pediatric Pulmonology Physician · NPI 1417477977

Novant Health Medical Group, LLC is a Pediatric Pulmonology Physician in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
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) 316-5280
Fax: (704) 316-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1918 Randolph Rd Ste 700, Charlotte, NC 28207-1167 — (704) 384-1056

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X

Record details

NPI number1417477977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatric Pulmonology; Novant Health Pediatric Pulmonology
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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