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

Novant Medical Group, Inc

Organization Pediatrics Physician · NPI 1093376642

Novant Medical Group, Inc is a Pediatrics 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

201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 316-5820
Fax: (704) 316-5821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1093376642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 316-7845
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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