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

Novant Medical Group Inc

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1033675079

Novant Medical Group Inc is a Neurology with Special Qualifications in Child Neurology Physician in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Randolph Rd Ste 320
Charlotte, NC 28207-1109
Phone: (704) 384-1390
Fax: (704) 384-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X

Record details

NPI number1033675079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Novant Health Pediatric Neurology; Novant Health Pediatric Neurology
NPI enumeratedFebruary 14, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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