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

Novant Medical Group Inc

Organization Developmental - Behavioral Pediatrics Physician · NPI 1104479708

Novant Medical Group Inc is a Developmental - Behavioral Pediatrics Physician in Concord, 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

311 Coddle Market Dr NW Ste 200
Concord, NC 28027-2432
Phone: (980) 302-9145
Fax: (704) 384-0568
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X

Record details

NPI number1104479708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Managed Care Enrollment Manager · (704) 316-7845
Other names Novant Health Developmental &Behavioral Pediatrics
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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