NOVANT MEDICAL GROUP, INC.
NPI 1063051340
Pediatrics - Pediatric Nephrology in Matthews, NC

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

The NPI number for Novant Medical Group, Inc. is 1063051340. It was assigned to this organization in the NPPES registry on January 3, 2020. The provider is doing business as Novant Health Pediatric Nephrology.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Active since January 03, 2020

1401 MATTHEWS TOWNSHIP PKWY STE 100, MATTHEWS, NC 28105(704) 316-5910(704) 316-5911 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Novant Medical Group, Inc. NPPES

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

NOVANT MEDICAL GROUP, INC. (NPI 1063051340), doing business as Novant Health Pediatric Nephrology, is a healthcare organization registered as a pediatric nephrology in Matthews, North Carolina and active in the NPI registry since January 2020. The organization lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1063051340

Entity TypeOrganization

Primary Taxonomy2080P0210X

Legal Business NameNOVANT MEDICAL GROUP, INC.

Location Address1401 MATTHEWS TOWNSHIP PKWY STE 100Matthews, NC 28105-5403

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-5910

Fax(704) 316-5911

Organization SubpartNo

Authorized OfficialShala DavisEnrollment Manager · (704) 316-7845

Enumeration DateJanuary 3, 2020

✔ NPI 1063051340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

1401 MATTHEWS TOWNSHIP PKWY STE 100, Matthews, NC 28105

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Other Names 1

Doing Business AsNovant Health Pediatric Nephrology

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 8

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

DR. SCOTT WARREN THOMAS M.D.

Pediatrics