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NOVANT HEALTH PEDIATRIC CARDIOLOGY
NPI 1265488407
Pediatrics - Pediatric Cardiology in Charlotte, NC

Active since May 26, 2006
1918 RANDOLPH RD STE 700, CHARLOTTE, NC 28207(704) 316-1220(704) 316-1230 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Pediatric Cardiology NPPES

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

NOVANT HEALTH PEDIATRIC CARDIOLOGY (NPI 1265488407) is a healthcare organization registered as a pediatric cardiology in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Charlotte and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1265488407
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1918 RANDOLPH RD STE 700Charlotte, NC 28207-1167
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-1220 · Fax (704) 316-1230
Phone(704) 316-1220
Fax(704) 316-1230
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1265488407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1918 RANDOLPH RD STE 700, Charlotte, NC 28207
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Other Names 1

Doing Business AsNovant Health Pediatric Cardiology

Secondary Practice Location 1

Location 11718 E 4th St, Suite 605Charlotte, NC 28204-3282 · Phone (704) 316-1220 · Fax (704) 316-1230

Other Identifiers 3

Other016XKNC · Bcbs
Medicaid5900388NC
MedicaidNPB105SC

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 5

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

NOVANT MEDICAL GROUP, INC.
Pediatrics
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-7834
MR. CHRISTOPHER CALE HOMESLEY PA
Physician Assistant
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-3544
NOVANT HEALTH MEDICAL GROUP, LLC
Surgery
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Mecklenburg County (980) 488-9630
MATTHEW BARCLAY BROTHERS M.D.
Pediatrics (Pediatric Cardiology)
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1220
KATHERINE MARGARET MARSHALL MSW, LCSW-A
Counselor (Mental Health)
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Mecklenburg County (704) 900-2904

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 Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1265488407. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Novant Health Pediatric Cardiology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1918 Randolph Rd Ste 700, Charlotte, NC 28207. The listed phone number is (704) 316-1220.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Novant Health Medical Group, LLC 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 Health Medical Group, LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.