1. Home
  2. Directory
  3. North Carolina
  4. Huntersville
  5. Pediatrics
  6. NPI Profile

NOVANT HEALTH GILEAD ROAD PEDIATRICS & INTERNAL MEDICINE
NPI 1013969674
Pediatrics in Huntersville, NC

Active since May 16, 2006CLIA 34D1039753 · Waiver
9615 KINCEY AVENUE, SUITE 100, HUNTERSVILLE, NC 28078(704) 316-5635(704) 316-5640 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Gilead Road Pediatrics & Internal Medicine NPPES

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

NOVANT HEALTH GILEAD ROAD PEDIATRICS & INTERNAL MEDICINE (NPI 1013969674) is a healthcare organization registered as a pediatrics in Huntersville, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1013969674
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address9615 KINCEY AVENUE, SUITE 100Huntersville, NC 28078-9140
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 316-5640
Phone(704) 316-5635
Fax(704) 316-5640
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1013969674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
9615 KINCEY AVENUE, Huntersville, NC 28078
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Gilead Road Pediatrics & Internal Medicine

Other Identifiers 3

Other017F5NC · Bcbs-nc
Medicaid5902021NC
OtherCC5118NC · Railroad Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1039753

Novant Health Gilead Road Pediatrics & Internal Medicine · Huntersville, NC
Active · expires Apr 20, 2027
CLIA Number34D1039753
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorThomas P. Lessaris
Laboratory Phone(704) 316-5635
Laboratory LocationNovant Health Gilead Road Pediatrics & Internal Medicine9615 Kincey Avenue, Suite 100, Huntersville, NC 28078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1013969674. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Novant Health Gilead Road Pediatrics & Internal Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 9615 Kincey Avenue Suite 100, Huntersville, NC 28078. The listed phone number is (704) 316-5635.

What is Novant Health Medical Group, LLC's specialty?

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

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1039753) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Novant Health Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.