NOVANT HEALTH PEDIATRIC GENETICS
NPI 1164137766
Pediatrics in Charlotte, NC

Active since January 18, 2023
201 QUEENS RD, CHARLOTTE, NC 28204(704) 384-7680 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Jan 18, 2023 (2 updates tracked since 2023).

About Novant Health Pediatric Genetics NPPES

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

NOVANT HEALTH PEDIATRIC GENETICS (NPI 1164137766) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since January 2023. The organization lists Shala Davis, Enrollment Director, as its authorized official.

NPPES Registry Identity

NPI1164137766
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address201 QUEENS RDCharlotte, NC 28204-3217
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7680
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Director · (704) 303-7517
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1164137766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
201 QUEENS RD, Charlotte, NC 28204

Other Names 1

Doing Business AsNovant Health Pediatric Genetics

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 Genetics 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 Genetics, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 868 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
Nurse Practitioner
NPI 1174106702
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1922568450
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1730443441
201 QUEENS RD
Charlotte, NC 28204
(704) 316-3022
✔ PECOSSame address
Pediatric Medicine
NPI 1811062615
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1952537185
201 QUEENS RD
Charlotte, NC 28204
(704) 316-1020
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1841216512
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
Same address
Interventional Cardiology
NPI 1053524967
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Electrophysiology
NPI 1891793121
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS0.1 mi
Family Practice
NPI 1811918485
125 QUEENS RD STE 330
Charlotte, NC 28204
(704) 384-5043
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1982600201
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS✔ Accepts Medicare0.1 mi
Physician Assistant
NPI 1164741724
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1578061065
125 QUEENS RD STE 520
Charlotte, NC 28204
(980) 302-6500
✔ PECOS✔ Accepts Medicare0.1 mi
Hospice/Palliative Care
NPI 1356484232
125 QUEENS RD STE 510
Charlotte, NC 28204
(980) 302-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1407849532
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1841818507
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-2340
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1902928799
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology
NPI 1497957112
125 QUEENS RD STE 610
Charlotte, NC 28204
(980) 302-6600
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1467840702
125 QUEENS RD STE 330
Charlotte, NC 28204
(704) 384-5043
✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1588009310
125 QUEENS RD STE 430
Charlotte, NC 28204
(980) 302-6700
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1922264498
125 QUEENS RD STE 520
Charlotte, NC 28204
(980) 302-6500
✔ PECOS✔ Accepts Medicare0.1 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 1164137766. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Novant Health Pediatric Genetics.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 201 Queens Rd, Charlotte, NC 28204. The listed phone number is (704) 384-7680.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 6 practice at this address and 868 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 20, 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.