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 Sports Medicine Physician · NPI 1639695133

Novant Health Medical Group, LLC is a Pediatric Sports Medicine Physician in Charlotte, North Carolina. Works from 4 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
Phone: (704) 316-1070
Show map & directions

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

Additional practice locations (3)

  • 1918 Randolph Rd Ste 100, Charlotte, NC 28207-1107 — (704) 384-7834
  • 5370 Ridge Rd, Charlotte, NC 28269-2298 — (704) 316-1020
  • 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 — (704) 316-1070

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X

Record details

NPI number1639695133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Edi Manager · (704) 316-6081
Other names Novant Health Pediatric Sports Medicine; Novant Health Pediatric Sports Medicine
NPI enumeratedAugust 16, 2017
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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