NOVANT HEALTH MATERNAL AND FETAL MEDICINE
NPI 1235187543
Obstetrics & Gynecology - Maternal & Fetal Medicine in Charlotte, NC

Q: What is Novant Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1235187543. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Novant Health Maternal And Fetal Medicine.

Q: What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Active since May 05, 2006

1718 E 4TH ST, SUITE 404, CHARLOTTE, NC 28204(704) 384-5701(704) 384-5642 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Apr 22, 2021 (2 updates tracked since 2021).

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About Novant Health Maternal And Fetal Medicine NPPES

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

NOVANT HEALTH MATERNAL AND FETAL MEDICINE (NPI 1235187543) is a healthcare organization registered as a maternal & fetal medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Charlotte and lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1235187543

Entity TypeOrganization

Primary Taxonomy207VM0101X

Legal Business NameNOVANT MEDICAL GROUP, INC.

Location Address1718 E 4TH ST, SUITE 404Charlotte, NC 28204-3193

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7680

Phone(704) 384-5701

Fax(704) 384-5642

Organization SubpartNo

Authorized OfficialShala DavisRcs Manager · (704) 303-7517

Enumeration DateMay 5, 2006

Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1235187543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

1718 E 4TH ST, Charlotte, NC 28204

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Other Names 1

Doing Business AsNovant Health Maternal And Fetal Medicine

Secondary Practice Location 1

Location 11718 E 4th St Ste 807Charlotte, NC 28204-3280 · Phone (704) 384-5701 · Fax (704) 384-5642

Other Identifiers 3

Medicaid5903442NC

Other017YPNC · Bcbs Nc

MedicaidNPB169SC

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 20

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

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204

Mecklenburg County (704) 598-7320

DR. PHILIP WILLIAM DE HOFF M. D.

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204

Mecklenburg County (704) 372-4000

STEPHANIE DAWN RITCHIE PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204

Mecklenburg County (704) 316-5100

NOVANT MEDICAL GROUP

Internal Medicine (Infectious Disease)

1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-7840

JESSICA PUSKARICH NP

Nurse Practitioner

1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204

Mecklenburg County (704) 333-1259

KAO NU LY PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204

Mecklenburg County (704) 376-5636

ROBERT BRIAN FAZIA MD

Internal Medicine (Cardiovascular Disease)

1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204

Mecklenburg County (704) 343-9800

NOVANT HEALTH MEDICAL GROUP, LLC

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-0560

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 1235187543. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Novant Health Maternal And Fetal Medicine.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 1718 E 4th St Suite 404, Charlotte, NC 28204. The listed phone number is (704) 384-5701.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

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.