NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY
NPI 1134765126
Pediatrics - Pediatric Allergy/Immunology in Charlotte, NC

Q: What is Novant Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1134765126. It was assigned to this organization in the NPPES registry on November 25, 2019. The provider is doing business as Novant Health Pediatric Allergy & Immunology.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Active since November 25, 2019CLIA 34D2175998 · Waiver

201 QUEENS RD, CHARLOTTE, NC 28204(704) 316-9022(704) 316-9026 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Novant Health Pediatric Allergy & Immunology NPPES

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

NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY (NPI 1134765126) is a healthcare organization registered as a pediatric allergy/immunology in Charlotte, North Carolina and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1134765126

Entity TypeOrganization

Primary Taxonomy2080P0201X

Legal Business NameNOVANT MEDICAL GROUP, INC.

Location Address201 QUEENS RDCharlotte, NC 28204-3217

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-9022

Fax(704) 316-9026

Organization SubpartNo

Authorized OfficialShala DavisEnrollment Manager · (704) 316-7845

Enumeration DateNovember 25, 2019

✔ NPI 1134765126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

201 QUEENS RD, Charlotte, NC 28204

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Other Names 1

Doing Business AsNovant Health Pediatric Allergy & Immunology

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

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 34D2175998

Novant Health Pediatric Nephrology · Charlotte, NC

Active · expires Dec 4, 2027

CLIA Number34D2175998

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2025

Certificate Expiration DateDecember 4, 2027

Laboratory DirectorPoomima Baddi

Laboratory Phone(704) 316-5910

Laboratory LocationNovant Health Pediatric Nephrology201 Queens Road, Charlotte, NC 28204

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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.

NOVANT HEALTH MEDICAL GROUP, LLC

Internal Medicine (Pulmonary Disease)