NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY
NPI 1073179867
Pediatrics - Pediatric Endocrinology in Concord, NC

NPI Status: Active since May 16, 2019

Contact Information

311 CODDLE MARKET DR NW STE 200
CONCORD, NC
ZIP 28027
Phone: (704) 316-5285

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology
  • CLIA Number: 34D2137721
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-02-2027

About NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY

This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Endocrinology, a pediatrician established in Concord, North Carolina operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1073179867 assigned on May 2019. The practitioner's primary taxonomy code is 2080P0205X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Novant Health Pediatric Endocrinology 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 Pediatric Endocrinology. The authorized official of this NPI record is Shala Davis (Rcs Manager)

NPI
1073179867
Provider Legal Name
NOVANT MEDICAL GROUP, INC.
Other Organization Name
NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
311 CODDLE MARKET DR NW STE 200 CONCORD, NC 28027
Location Phone
(704) 316-5285
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(844) 266-8268
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2019
Last Update Date
08-16-2021
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A pediatrician like Novant Health Pediatric Endocrinology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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
34D2137721
Facility Type
Physician Office
Certificate Effective Date
October 03, 2025
Certificate Expiration Date
October 02, 2027
Laboratory Director
HENRY J. ROHRS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Pediatric Endocrinology 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 1073179867, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 7 → 14 → 5 1 → 2 9 → 18 → 9 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 + 4 + 3 + 2 + 7 + 1 + 8 + 8 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1073179867.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics (Developmental - Behavioral Pediatrics)
311 CODDLE MARKET DR NW STE 200
CONCORD, NC 28027
Neurological Surgery
311 CODDLE MARKET DR NW STE 200
CONCORD, NC 28027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073179867, enumerated as an "organization" on May 16, 2019.

The provider is located at 311 CODDLE MARKET DR NW STE 200 CONCORD, NC 28027 and the phone number is (704) 316-5285.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.