NOVANT MEDICAL GROUP INC
NPI 1104479708
Pediatrics - Developmental - Behavioral Pediatrics in Concord, NC

Active since July 23, 2019
311 CODDLE MARKET DR NW STE 200, CONCORD, NC 28027(980) 302-9145(704) 384-0568 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Novant Medical Group Inc NPPES

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

NOVANT MEDICAL GROUP INC (NPI 1104479708), doing business as Novant Health Developmental &behavioral Pediatrics, is a healthcare organization registered as a developmental - behavioral pediatrics in Concord, North Carolina and active in the NPI registry since July 2019. The organization lists Shala Davis, Managed Care Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1104479708
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameNOVANT MEDICAL GROUP INC
Location Address311 CODDLE MARKET DR NW STE 200Concord, NC 28027-2432
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-9145 · Fax (704) 384-0568
Fax(704) 384-0568
Organization SubpartNo
Authorized OfficialShala DavisManaged Care Enrollment Manager · (704) 316-7845
Enumeration DateJuly 23, 2019
NPI 1104479708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
311 CODDLE MARKET DR NW STE 200, Concord, NC 28027

Other Names 1

Doing Business AsNovant Health Developmental &behavioral Pediatrics

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 2

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

Pediatrics (Pediatric Endocrinology)
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 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 1104479708. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is doing business as Novant Health Developmental &Behavioral Pediatrics.

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 (980) 302-9145.

What is Novant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group Inc was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.