NOVANT HEALTH NODA OBGYN
NPI 1053971762
Obstetrics & Gynecology in Charlotte, NC

NPI Status: Active since June 14, 2019

Contact Information

416 E 36TH ST
SUITE 200
CHARLOTTE, NC
ZIP 28205
Phone: (980) 302-9820
Fax: (980) 302-9830

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 34D2104877
  • CLIA Cert. Type: Industrial
  • CLIA Exp. Date: 11-12-2025

About NOVANT HEALTH NODA OBGYN

This page provides the complete NPI Profile along with additional information for Novant Health Noda Obgyn, a women's health care provider established in Charlotte, North Carolina operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1053971762 assigned on June 2019. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Novant Health Noda Obgyn 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 Noda Obgyn. The authorized official of this NPI record is Shala Davis (Rcs Manager)

NPI
1053971762
Provider Legal Name
NOVANT MEDICAL GROUP, INC.
Other Organization Name
NOVANT HEALTH NODA OBGYN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
416 E 36TH ST SUITE 200 CHARLOTTE, NC 28205
Location Phone
(980) 302-9820
Location Fax
(980) 302-9830
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2019
Last Update Date
08-16-2021
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Women's health care providers like Novant Health Noda Obgyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHALA DAVIS

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(704) 303-7517

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
34D2104877
Facility Type
Industrial
Certificate Effective Date
November 13, 2023
Certificate Expiration Date
November 12, 2025
Laboratory Director
CHARLES A. BREGIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Noda Obgyn 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 1053971762, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 8 + 7 + 2 + 7 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053971762.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
416 E 36TH ST, STE 200
CHARLOTTE, NC 28205
Family Medicine
416 E 36TH ST, STE 200
CHARLOTTE, NC 28205
Physician Assistant
416 E 36TH ST, STE 200
CHARLOTTE, NC 28205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053971762, enumerated as an "organization" on June 14, 2019.

The provider is located at 416 E 36TH ST SUITE 200 CHARLOTTE, NC 28205 and the phone number is (980) 302-9820.

Obstetrics & Gynecology with taxonomy code 207V00000X.