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 Pediatrics Physician · NPI 1760989941

Novant Health Medical Group, LLC is a Pediatrics Physician in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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

9224 Ardrey Kell Rd Ste 200
Charlotte, NC 28277-4952
Phone: (704) 316-1495
Fax: (704) 316-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12611 N Community House Rd Ste 200, Charlotte, NC 28277-3597 — (704) 384-9679

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1760989941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatrics Blakeney
NPI enumeratedApril 12, 2018
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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