NOVANT HEALTH PEDIATRIC GASTROENTEROLOGY
NPI 1013453604
Pediatrics - Pediatric Gastroenterology in Charlotte, NC
NPI Status: Active since January 06, 2017
Contact Information
11840 SOUTHMORE DR
SUITE 200
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-5060
Fax: (704) 316-5069
- Organization
- Pediatrics
- Pediatric Gastroenterology
- CLIA Number: 34D1067428
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-17-2027
About NOVANT HEALTH PEDIATRIC GASTROENTEROLOGY
This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Gastroenterology, a pediatrician established in Charlotte, North Carolina operating as a Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1013453604 assigned on January 2017. The practitioner's primary taxonomy code is 2080P0206X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Novant Health Pediatric Gastroenterology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Pediatric Gastroenterology. The authorized official of this NPI record is Shala Davis (Rcs Manager)
- NPI
- 1013453604
- Provider Legal Name
- NOVANT MEDICAL GROUP, INC.
- Other Organization Name
- NOVANT HEALTH PEDIATRIC GASTROENTEROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11840 SOUTHMORE DR SUITE 200 CHARLOTTE, NC 28277
- Location Phone
- (704) 316-5060
- Location Fax
- (704) 316-5069
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 316-5060
- Mailing Fax
- (704) 316-5069
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2017
- Last Update Date
- 08-16-2021
- Code Navigator
A pediatrician like Novant Health Pediatric Gastroenterology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1067428
- Facility Type
- Physician Office
- Certificate Effective Date
- April 18, 2025
- Certificate Expiration Date
- April 17, 2027
- Laboratory Director
- WILLIAM S. HOUCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Pediatric Gastroenterology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013453604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28277
CHARLOTTE, NC 28277
CHARLOTTE, NC 28277
CHARLOTTE, NC 28277
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013453604, enumerated as an "organization" on January 06, 2017.
The provider is located at 11840 SOUTHMORE DR SUITE 200 CHARLOTTE, NC 28277 and the phone number is (704) 316-5060.
Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.
