NOVANT HEALTH PEDIATRIC CARDIOLOGY
NPI 1083015028
Pediatrics - Pediatric Cardiology in Charlotte, NC

Active since September 09, 2014
11840 SOUTHMORE DR STE 201, CHARLOTTE, NC 28277(704) 316-1220(704) 316-1230 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 14, 2024, Jul 11, 2023, Aug 16, 2021 and 1 more (4 updates tracked since 2015).

About Novant Health Pediatric Cardiology NPPES

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

NOVANT HEALTH PEDIATRIC CARDIOLOGY (NPI 1083015028) is a healthcare organization registered as a pediatric cardiology in Charlotte, North Carolina and active in the NPI registry since September 2014. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1083015028
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address11840 SOUTHMORE DR STE 201Charlotte, NC 28277-0785
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-1220 · Fax (704) 316-1230
Fax(704) 316-1230
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateSeptember 9, 2014
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1083015028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
11840 SOUTHMORE DR STE 201, Charlotte, NC 28277

Other Names 1

Doing Business AsNovant Health Pediatric Cardiology

Other Identifiers 1

Medicaid1083015028NC

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

Accepted Insurance

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 Cardiology 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 Cardiology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 398 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
Internal Medicine
NPI 1386617710
11840 SOUTHMORE DR SUITE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558334284
11840 SOUTHMORE DR SUITE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1942273370
11840 SOUTHMORE DR SUITE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOSSame address
Pediatric Medicine
NPI 1447223870
11840 SOUTHMORE DR SUITE 100
Charlotte, NC 28277
(704) 384-1166
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104447366
11840 SOUTHMORE DR STE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1508493503
11840 SOUTHMORE DR STE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOSSame address
Pediatric Medicine
NPI 1073704474
11840 SOUTHMORE DR STE 200
Charlotte, NC 28277
(704) 384-1166
✔ PECOSSame address
Pediatric Medicine
NPI 1760682546
8169 ARDREY KELL RD
Charlotte, NC 28277
(704) 542-5540
✔ PECOS1.6 mi
Obstetrics/Gynecology
NPI 1609877091
5933 BLAKENEY PARK DR SUITE 100
Charlotte, NC 28277
(704) 316-2021
✔ PECOS✔ Accepts Medicare2.4 mi
Certified Nurse Midwife (CNM)
NPI 1427080357
5933 BLAKENEY PARK DR SUITE 100
Charlotte, NC 28277
(704) 316-2021
✔ PECOS2.4 mi
Family Practice
NPI 1114468345
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare2.4 mi
Internal Medicine
NPI 1689630691
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1568985455
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare2.4 mi
Physical Medicine and Rehabilitation
NPI 1396734190
7825 BALLANTYNE COMMONS PKWY STE 150
Charlotte, NC 28277
(704) 544-6920
✔ PECOS✔ Accepts Medicare2.6 mi
Neurosurgery
NPI 1679898548
7825 BALLANTYNE COMMONS PKWY STE 150
Charlotte, NC 28277
(704) 316-3070
✔ PECOS✔ Accepts Medicare2.6 mi
Interventional Pain Management
NPI 1043576051
7825 BALLANTYNE COMMONS PKWY STE 150
Charlotte, NC 28277
(704) 544-6920
✔ PECOS✔ Accepts Medicare2.6 mi
Clinical Social Worker
NPI 1043533045
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare2.9 mi
Mental Health Counselor
NPI 1902532815
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare2.9 mi
Neurology
NPI 1063702306
9929 REA RD
Waxhaw, NC 28173
(704) 316-1055
✔ PECOS✔ Accepts Medicare2.9 mi
Psychiatry
NPI 1669854048
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare2.9 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.

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 Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1083015028. It was assigned to this organization in the NPPES registry on September 9, 2014. The provider is doing business as Novant Health Pediatric Cardiology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 11840 Southmore Dr Ste 201, Charlotte, NC 28277. The listed phone number is (704) 316-1220.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. 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, 7 practice at this address and 398 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Novant Health Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.