NOVANT HEALTH PEDIATRIC NEUROLOGY
NPI 1164987616
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Concord, NC

Active since February 08, 2019
311 CODDLE MARKET DR NW, STE 200, CONCORD, NC 28027(704) 384-1390(704) 384-1063 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Mar 18, 2019, Feb 11, 2019 and 1 more (4 updates tracked since 2019).

About Novant Health Pediatric Neurology NPPES

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

NOVANT HEALTH PEDIATRIC NEUROLOGY (NPI 1164987616) is a healthcare organization registered as a neurology with special qualifications in child neurology in Concord, North Carolina and active in the NPI registry since February 2019. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1164987616
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameNOVANT MEDICAL GROUP INC
Location Address311 CODDLE MARKET DR NW, STE 200Concord, NC 28027-2432
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 384-1063
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateFebruary 8, 2019
Last NPPES UpdateAugust 16, 20214 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
NPI 1164987616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
311 CODDLE MARKET DR NW, Concord, NC 28027

Other Names 1

Doing Business AsNovant Health Pediatric Neurology

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027

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 1164987616. It was assigned to this organization in the NPPES registry on February 8, 2019. The provider is doing business as Novant Health Pediatric Neurology.

Where is Novant Medical Group Inc located?

Novant Medical Group Inc is located at 311 Coddle Market Dr NW Ste 200, Concord, NC 28027. The listed phone number is (704) 384-1390.

What is Novant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group Inc was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.