PEDIATRIC GASTROENTEROLOGY ASSOCIATES (SATELLITE)
NPI 1164705653
Pediatrics - Pediatric Gastroenterology in Charlotte, NC

Active since September 21, 2011
16139 LANCASTER HWY, SUITE 110, CHARLOTTE, NC 28277(704) 316-5060(704) 316-5069 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pediatric Gastroenterology Associates (satellite) NPPES

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

PEDIATRIC GASTROENTEROLOGY ASSOCIATES (SATELLITE) (NPI 1164705653) is a healthcare organization registered as a pediatric gastroenterology in Charlotte, North Carolina and active in the NPI registry since September 2011. The organization lists Geoffrey Gardner, Vp Finance Nmg, as its authorized official.

NPPES Registry Identity

NPI1164705653
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameNOVANT MEDICAL GROUP INC
Location Address16139 LANCASTER HWY, SUITE 110Charlotte, NC 28277-2033
Mailing AddressP O Box 60447, Novant Medical Group, Inc.Charlotte, NC 28275-1803 · (704) 316-5060 · Fax (704) 316-5069
Fax(704) 316-5069
Organization SubpartNo
Authorized OfficialGeoffrey GardnerVp Finance Nmg · (704) 384-9094
Enumeration DateSeptember 21, 2011
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1164705653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
16139 LANCASTER HWY, Charlotte, NC 28277

Other Names 1

Doing Business AsPediatric Gastroenterology Associates (satellite)

Other Identifiers 2

Medicaid5919443NC
Medicare PIN2322229XNC

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)

Pediatric Gastroenterology Associates (satellite) 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 Pediatric Gastroenterology Associates (satellite), which bills Medicare for the services they deliver. Of these, 3 practice at this address and 262 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 1780936799
16139 LANCASTER HWY STE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOSSame address
Pediatric Medicine
NPI 1992939979
16139 LANCASTER HWY STE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOSSame address
Pediatric Medicine
NPI 1932425428
16139 LANCASTER HWY SUITE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOSSame address
Pediatric Medicine
NPI 1477711323
16139 LANCASTER HWY STE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOS0.2 mi
Internal Medicine
NPI 1629730254
15719 PRESCOTT HILL AVE
Charlotte, NC 28277
(215) 821-5697
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1265851091
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1942773130
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1730222332
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1568059947
10905 PROVIDENCE RD W
Charlotte, NC 28277
(704) 384-6478
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1124558135
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1477995983
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1962015420
10905 PROVIDENCE RD W SUITE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Nurse Midwife (CNM)
NPI 1942962956
10905 PROVIDENCE RD W STE 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1205476843
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Nurse Midwife (CNM)
NPI 1841036423
10905 PROVIDENCE RD W STE 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.9 mi
Hospitalist
NPI 1225277296
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1558605766
10905 PROVIDENCE RD W SUITE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Hospitalist
NPI 1992017867
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Nurse Midwife (CNM)
NPI 1629863675
10905 PROVIDENCE RD W # 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.9 mi
Family Practice
NPI 1063859361
10905 PROVIDENCE RD W, STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.9 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 Medical Group Inc's NPI number?

The NPI number for Novant Medical Group Inc is 1164705653. It was assigned to this organization in the NPPES registry on September 21, 2011. The provider is doing business as Pediatric Gastroenterology Associates (satellite).

Where is Novant Medical Group Inc located?

Novant Medical Group Inc is located at 16139 Lancaster Hwy Suite 110, Charlotte, NC 28277. The listed phone number is (704) 316-5060.

What is Novant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Novant Medical Group Inc enrolled in Medicare?

Yes. Novant Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Medical Group Inc. 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, 3 practice at this address and 262 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Medical Group Inc accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Novant Medical Group Inc 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 Medical Group Inc was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.