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

Active since May 16, 2019CLIA 34D2137721 · Waiver
311 CODDLE MARKET DR NW STE 200, CONCORD, NC 28027(704) 316-5285 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Novant Health Pediatric Endocrinology NPPES

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

NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY (NPI 1073179867) is a healthcare organization registered as a pediatric endocrinology in Concord, North Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1073179867
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address311 CODDLE MARKET DR NW STE 200Concord, NC 28027-2432
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(704) 316-5285
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateMay 16, 2019
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1073179867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Definition
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.
311 CODDLE MARKET DR NW STE 200, Concord, NC 28027
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Pediatric Endocrinology

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Pediatric Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Pediatric Endocrinology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 117 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Tara Gaines, MD
Pediatric Medicine
NPI 1801866355
311 CODDLE MARKET DR NW STE 100
Concord, NC 28027
(980) 302-9100
✔ PECOSSame address
Stephen Lods, MD
Pediatric Medicine
NPI 1548236680
311 CODDLE MARKET DR NW STE 100
Concord, NC 28027
(980) 302-9100
✔ PECOSSame address
Kymberly Selden, MD
Pediatric Medicine
NPI 1154397016
311 CODDLE MARKET DR NW STE 100
Concord, NC 28027
(980) 302-9100
✔ PECOSSame address
Sheryl De Sa
Family Practice
NPI 1083121776
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare0.5 mi
Keith Griffin, MD
Internal Medicine
NPI 1962472415
5325 VINNING ST NW SUITE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare0.5 mi
Ann Mathew, FNP-C
Nurse Practitioner
NPI 1518361021
5325 VINNING ST NW STE 101
Concord, NC 28027
(704) 316-1040
✔ PECOS✔ Accepts Medicare0.5 mi
Hillary Allan, D.O.
Psychiatry
NPI 1124564901
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
Melissa Barbee, MS, LPC,LCMHC
Mental Health Counselor
NPI 1295043172
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
Samantha Copeland
Nurse Practitioner
NPI 1487262390
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
Preston Easterday, MD
Psychiatry
NPI 1154824977
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
Laurie Fulper, M.A, LCMHC
Mental Health Counselor
NPI 1902861594
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
April Ruckman, PSY.M, MSW, LCSW
Clinical Social Worker
NPI 1487111001
845 CHURCH ST N STE 203
Concord, NC 28025
(704) 316-5027
✔ PECOS✔ Accepts Medicare3.8 mi
Juvarez Ogbuneke, MD
Hospitalist
NPI 1225619323
920 CHURCH ST N
Concord, NC 28025
(704) 403-3000
✔ PECOS✔ Accepts Medicare3.8 mi
Leonard Stallings, MD
Emergency Medicine
NPI 1003102146
920 CHURCH ST N
Concord, NC 28025
(704) 403-1311
✔ PECOS✔ Accepts Medicare3.8 mi
Linda Agyapong, M.D.
Internal Medicine
NPI 1831540269
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 316-4950
✔ PECOS✔ Accepts Medicare3.9 mi
Valencia Covington, MD
Family Practice
NPI 1982771176
7752 GATEWAY LN NW STE 100
Concord, NC 28027
(704) 384-9408
✔ PECOS✔ Accepts Medicare3.9 mi
Prabhu Emmady, MD
Neurology
NPI 1801056247
315 MEDICAL PARK DR STE 202
Concord, NC 28025
(704) 403-1911
✔ PECOS✔ Accepts Medicare3.9 mi
Mary Garrison, MD
Pediatric Medicine
NPI 1891761912
66 LAKE CONCORD RD NE
Concord, NC 28025
(704) 403-7720
✔ PECOS4.0 mi
Kara Simpson, CNM
Certified Nurse Midwife (CNM)
NPI 1346939212
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-4828
✔ PECOS4.7 mi
Allison Ring, MD
Obstetrics/Gynecology
NPI 1013969955
9955 POPLAR TENT RD
Concord, NC 28027
(704) 316-4828
✔ PECOS✔ Accepts Medicare4.7 mi
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2137721

Novant Health Pediatric Endocrinology · Charlotte, NC
Active · expires Oct 2, 2027
CLIA Number34D2137721
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorHenry J. Rohrs
Laboratory Phone(704) 316-5285
Laboratory LocationNovant Health Pediatric Endocrinology201 Queens Road, Charlotte, NC 28204
CLIA data matches this NPI record on: 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 Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1073179867. It was assigned to this organization in the NPPES registry on May 16, 2019. The provider is doing business as Novant Health Pediatric Endocrinology.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 311 Coddle Market Dr NW Ste 200, Concord, NC 28027. The listed phone number is (704) 316-5285.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Novant Medical Group, Inc. enrolled in Medicare?

Yes. Novant Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 3 practice at this address and 117 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2137721) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 5 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.