NOVANT HEALTH PEDIATRIC NEUROLOGY
NPI 1164987616
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Concord, NC
NPI Status: Active since February 08, 2019
Contact Information
311 CODDLE MARKET DR NW
STE 200
CONCORD, NC
ZIP 28027
Phone: (704) 384-1390
Fax: (704) 384-1063
- Organization
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
- CLIA Number: 34D2303948
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-02-2028
About NOVANT HEALTH PEDIATRIC NEUROLOGY
This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Neurology, a provider established in Concord, North Carolina operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1164987616 assigned on February 2019. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Novant Health Pediatric Neurology 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 Neurology. The authorized official of this NPI record is Shala Davis (Rcs Manager)
- NPI
- 1164987616
- Provider Legal Name
- NOVANT MEDICAL GROUP INC
- Other Organization Name
- NOVANT HEALTH PEDIATRIC NEUROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 311 CODDLE MARKET DR NW STE 200 CONCORD, NC 28027
- Location Phone
- (704) 384-1390
- Location Fax
- (704) 384-1063
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2019
- Last Update Date
- 08-16-2021
- Code Navigator
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
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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.
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
- 34D2303948
- Facility Type
- Physician Office
- Certificate Effective Date
- May 03, 2026
- Certificate Expiration Date
- May 02, 2028
- Laboratory Director
- JERMELIAH MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Pediatric Neurology 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 1164987616, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164987616, enumerated as an "organization" on February 08, 2019.
The provider is located at 311 CODDLE MARKET DR NW STE 200 CONCORD, NC 28027 and the phone number is (704) 384-1390.
Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.
