NOVANT HEALTH PEDIATRIC NEUROLOGY
NPI 1033675079
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Charlotte, NC

Q: What is Novant Medical Group Inc's NPI number?

The NPI number for Novant Medical Group Inc is 1033675079. It was assigned to this organization in the NPPES registry on February 14, 2019. The provider is doing business as Novant Health Pediatric Neurology.

Q: What is Novant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since February 14, 2019

1918 RANDOLPH RD STE 320, CHARLOTTE, NC 28207(704) 384-1390(704) 384-1063 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Feb 14, 2019 (2 updates tracked since 2019).

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About Novant Health Pediatric Neurology NPPES

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

NOVANT HEALTH PEDIATRIC NEUROLOGY (NPI 1033675079) is a healthcare organization registered as a neurology with special qualifications in child neurology in Charlotte, North Carolina and active in the NPI registry since February 2019. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1033675079

Entity TypeOrganization

Primary Taxonomy2084N0402X

Legal Business NameNOVANT MEDICAL GROUP INC

Location Address1918 RANDOLPH RD STE 320Charlotte, NC 28207-1109

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1390 · Fax (704) 384-1063

Phone(704) 384-1390

Fax(704) 384-1063

Organization SubpartNo

Authorized OfficialShala DavisRcs Manager · (704) 303-7517

Enumeration DateFebruary 14, 2019

Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1033675079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

1918 RANDOLPH RD STE 320, Charlotte, NC 28207

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Other Names 1

Doing Business AsNovant Health Pediatric Neurology

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

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 1033675079. It was assigned to this organization in the NPPES registry on February 14, 2019. The provider is doing business as Novant Health Pediatric Neurology.

Where is Novant Medical Group Inc located?

Novant Medical Group Inc is located at 1918 Randolph Rd Ste 320, Charlotte, NC 28207. The listed phone number is (704) 384-1390.

What is Novant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group Inc was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.