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

Novant Health Medical Group, LLC

Organization Surgery Physician · NPI 1518793025

Novant Health Medical Group, LLC is a Surgery Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

1918 Randolph Rd Ste 700
Charlotte, NC 28207-1167
Phone: (980) 488-9630
Fax: (980) 488-9635
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Pediatric Surgery Physician Taxonomy 2086S0120X

Record details

NPI number1518793025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rsc Manager · (704) 316-6081
NPI enumeratedSeptember 11, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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