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 Family Medicine Physician · NPI 1487297958

Novant Health Medical Group, LLC is a Family Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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

1718 E 4th St Ste 207
Charlotte, NC 28204-3291
Phone: (704) 384-7390
Fax: (704) 384-5669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1487297958
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovant Health Medical Group, LLC
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Diabetes & Nutrition; Novant Health Diabetes & Nutrition
NPI enumeratedOctober 28, 2019
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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