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NOVANT HEALTH MEDICAL GROUP LLC
NPI 1013723162
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Active since December 04, 2024
2711 RANDOLPH RD STE 100, CHARLOTTE, NC 28207(704) 000-0000 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Novant Health Medical Group Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP LLC (NPI 1013723162), doing business as Novant Health Gcm Children's Collaborative Care, is a healthcare organization registered as a psychiatry in Charlotte, North Carolina and active in the NPI registry since December 2024. The organization lists Leea Jeanine Walton, Manager, as its authorized official.

NPPES Registry Identity

NPI1013723162
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNOVANT HEALTH MEDICAL GROUP LLC
Location Address2711 RANDOLPH RD STE 100Charlotte, NC 28207-2027
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 000-0000
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonManager · (047) 316-6081
Enumeration DateDecember 4, 2024
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1013723162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2711 RANDOLPH RD STE 100, Charlotte, NC 28207
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Other Names 1

Doing Business AsNovant Health Gcm Children's Collaborative Care

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 20

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

JOSEPH MARFOH
Behavior Technician
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 780-4271
SHEADEN STEWART
Behavior Technician
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 780-4271
ALAZIA HARTY PARADISE
Behavior Technician
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 780-4271
LUCY PAUL
Speech-Language Pathologist
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (980) 302-8271
ANNA WADDELL
Behavior Technician
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 780-4271
MADELINE RENEE FREBEL DOT
Occupational Therapist
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (980) 302-8271
AH SHYIA ROBINSON
Behavior Technician
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 780-4271
MALLORY MARIE GRUENDER OTR/L
Occupational Therapist
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (980) 302-8271

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 Health Medical Group LLC's NPI number?

The NPI number for Novant Health Medical Group LLC is 1013723162. It was assigned to this organization in the NPPES registry on December 4, 2024. The provider is doing business as Novant Health GCM Children's Collaborative Care.

Where is Novant Health Medical Group LLC located?

Novant Health Medical Group LLC is located at 2711 Randolph Rd Ste 100, Charlotte, NC 28207. The listed phone number is (704) 000-0000.

What is Novant Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.