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 1871527762

Novant Health Medical Group, LLC is a Family Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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

11840 Southmore Dr Ste 200
Charlotte, NC 28277-4466
Phone: (704) 384-1166
Fax: (704) 384-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NC)
Internal Medicine Physician Taxonomy 207R00000X (NC)
Pediatrics Physician Taxonomy 208000000X (NC)

Record details

NPI number1871527762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Waverly Pediatrics And Primary Care; Novant Health Waverly Pediatrics And Primary Care
NPI enumeratedJuly 10, 2006
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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