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 Vascular Surgery Physician · NPI 1891764320

Novant Health Medical Group, LLC is a Vascular Surgery Physician in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
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

125 Queens Rd Ste 250
Charlotte, NC 28204-3215
Phone: (704) 316-5100
Fax: (704) 316-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Hawthorne Ln, Charlotte, NC 28204-2467 — (704) 316-5100

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1891764320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Heart And Vascular Institute; Novant Health Heart And Vascular Institute
NPI enumeratedMarch 16, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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