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

Novant Medical Group, Inc

Organization Pediatric Nephrology Physician · NPI 1063051340

Novant Medical Group, Inc is a Pediatric Nephrology Physician in Matthews, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1401 Matthews Township Pkwy Ste 100
Matthews, NC 28105-5403
Phone: (704) 316-5910
Fax: (704) 316-5911
Show map & directions

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

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X

Record details

NPI number1063051340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Enrollment Manager · (704) 316-7845
Other names Novant Health Pediatric Nephrology
NPI enumeratedJanuary 3, 2020
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing addressPo Box 60447, Charlotte, NC 28260-0447