SOUTH PARK PEDIATRICS
NPI 1003918178
Pediatrics in Charlotte, NC

Active since September 01, 2006
4601 PARK RD, SUITE 100, CHARLOTTE, NC 28209(704) 522-6656(704) 522-6665 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Park Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PARK PEDIATRICS (NPI 1003918178) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since September 2006. The organization lists Dinesh S. Pai, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003918178
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address4601 PARK RD, SUITE 100Charlotte, NC 28209-3239
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9679 · Fax (704) 316-0508
Fax(704) 522-6665
Organization SubpartNo
Authorized OfficialDinesh S. PaiVp Of Operations · (704) 384-9104
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 17, 2008
NPI 1003918178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4601 PARK RD, Charlotte, NC 28209

Other Names 1

Doing Business AsSouth Park Pediatrics

Other Identifiers 2

Other018PYNC · Bcbs Nc
Medicaid5905826NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Orthopaedic Surgery
4601 PARK RD, STE 300
CHARLOTTE, NC 28209
Physician Assistant
4601 PARK RD, SUITE 250
CHARLOTTE, NC 28209
Community/Behavioral Health
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Marriage & Family Therapist
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Counselor (Professional)
4601 PARK RD
CHARLOTTE, NC 28209
Orthopaedic Surgery
4601 PARK RD, SUITE 250
CHARLOTTE, NC 28209
Physician Assistant (Surgical)
4601 PARK RD, SUITE 300
CHARLOTTE, NC 28209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1003918178. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider is doing business as South Park Pediatrics.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 4601 Park Rd Suite 100, Charlotte, NC 28209. The listed phone number is (704) 522-6656.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.