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

Novant Medical Group Inc

Organization Pediatric Gastroenterology Physician · NPI 1164705653

Novant Medical Group Inc is a Pediatric Gastroenterology Physician in Charlotte, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

16139 Lancaster Hwy Ste 110
Charlotte, NC 28277-2033
Phone: (704) 316-5060
Fax: (704) 316-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1164705653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Finance Nmg · (704) 384-9094
Other names Pediatric Gastroenterology Associates (Satellite)
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 29, 2016
Mailing addressP O Box 60447, Novant Medical Group, Inc., Charlotte, NC 28275-1803

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