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

Novant Medical Group, Inc

Organization Pediatrics Physician · NPI 1487739058

Novant Medical Group, Inc is a Pediatrics Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

1918 Randolph Rd Ste 700
Charlotte, NC 28207-1100
Phone: (704) 384-1056
Fax: (704) 384-1046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (NC)

Record details

NPI number1487739058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (704) 384-1056
Other names Novant Health Walker Pediatrics
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 6, 2017
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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