NOVANT HEALTH MEDICAL GROUP LLC
NPI 1083564702
Podiatrist in Charlotte, NC

Q: What is Novant Health Medical Group LLC's NPI number?

The NPI number for Novant Health Medical Group LLC is 1083564702. It was assigned to this organization in the NPPES registry on February 2, 2026. The provider is doing business as Novant Health Podiatry - Elizabeth.

Q: What is Novant Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since February 02, 2026

125 QUEENS RD STE 250, CHARLOTTE, NC 28204(704) 316-2340 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Mar 13, 2026, Feb 2, 2026 (3 updates tracked since 2026).

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About Novant Health Medical Group Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP LLC (NPI 1083564702), doing business as Novant Health Podiatry - Elizabeth, is a healthcare organization registered as a podiatrist in Charlotte, North Carolina and active in the NPI registry since February 2026. The organization lists Leea Walton, Manager, as its authorized official.

NPPES Registry Identity

NPI1083564702

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP LLC

Location Address125 QUEENS RD STE 250Charlotte, NC 28204-3419

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-2340

Organization SubpartNo

Authorized OfficialLeea WaltonManager · (704) 316-6081

Enumeration DateFebruary 2, 2026

Last NPPES UpdateApril 21, 20263 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1083564702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

125 QUEENS RD STE 250, Charlotte, NC 28204

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Other Names 1

Doing Business AsNovant Health Podiatry - Elizabeth

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 20

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

HANNAH RAE FLYNN ACNP

Nurse Practitioner (Acute Care)