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

NPI Status: Active since November 25, 2019

Contact Information

201 QUEENS RD
CHARLOTTE, NC
ZIP 28204
Phone: (704) 316-9022
Fax: (704) 316-9026

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  • Organization
  • Pediatrics
  • Pediatric Allergy/Immunology
  • CLIA Number: 34D2175998
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-04-2027

About NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY

This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Allergy & Immunology, a pediatrician established in Charlotte, North Carolina operating as a Pediatrics, focusing in pediatric allergy/immunology . The healthcare provider is registered in the NPI registry with number 1134765126 assigned on November 2019. The practitioner's primary taxonomy code is 2080P0201X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Novant Health Pediatric Allergy & Immunology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Pediatric Allergy & Immunology. The authorized official of this NPI record is Shala Davis (Enrollment Manager)

NPI
1134765126
Provider Legal Name
NOVANT MEDICAL GROUP, INC.
Other Organization Name
NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 QUEENS RD CHARLOTTE, NC 28204
Location Phone
(704) 316-9022
Location Fax
(704) 316-9026
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2019
Last Update Date
11-25-2019
Code Navigator

A pediatrician like Novant Health Pediatric Allergy & Immunology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Allergy/Immunology

Taxonomy Code
2080P0201X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHALA DAVIS

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(704) 316-7845

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2175998
Facility Type
Physician Office
Certificate Effective Date
December 05, 2025
Certificate Expiration Date
December 04, 2027
Laboratory Director
POOMIMA BADDI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Pediatric Allergy & Immunology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134765126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 4 + 6 + 1 + 0 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1134765126.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
201 QUEENS RD
CHARLOTTE, NC 28204
Physician Assistant
201 QUEENS RD
CHARLOTTE, NC 28204
Specialist/Technologist (Athletic Trainer)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Endocrinology)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Sports Medicine)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Endocrinology)
201 QUEENS RD
CHARLOTTE, NC 28204
Dietitian, Registered
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner (Pediatrics)
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Endocrinology)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Infectious Diseases)
201 QUEENS RD
CHARLOTTE, NC 28204
Urology
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner (Pediatrics)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Pulmonology)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Nephrology)
201 QUEENS RD
CHARLOTTE, NC 28204
Internal Medicine (Pulmonary Disease)
201 QUEENS RD
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134765126, enumerated as an "organization" on November 25, 2019.

The provider is located at 201 QUEENS RD CHARLOTTE, NC 28204 and the phone number is (704) 316-9022.

Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.