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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: August 02, 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
Phone(704) 316-5060
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
16139 LANCASTER HWY, SUITE 110
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1440
DR. MELISSA MCLANE TAYLOR MD
Pediatrics
16139 LANCASTER HWY, SUITE 110
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1440

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.

What insurance does Novant Medical Group Inc accept?

Health plans from Blue Cross and Blue Shield of NC 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 9 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.