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

Novant Medical Group Inc

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1164987616

Novant Medical Group Inc is a Neurology with Special Qualifications in Child Neurology 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: (704) 384-1390
Fax: (704) 384-1063
Show map & directions

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 number1164987616
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 8, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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