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

NPI Status: Active since May 26, 2006

Contact Information

1918 RANDOLPH RD STE 700
CHARLOTTE, NC
ZIP 28207
Phone: (704) 316-1220
Fax: (704) 316-1230

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  • Organization
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance

About NOVANT HEALTH PEDIATRIC CARDIOLOGY

This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Cardiology, a pediatrician established in Charlotte, North Carolina operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1265488407 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Novant Health Pediatric Cardiology 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 Cardiology. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)

NPI
1265488407
Provider Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Other Organization Name
NOVANT HEALTH PEDIATRIC CARDIOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1918 RANDOLPH RD STE 700 CHARLOTTE, NC 28207
Location Phone
(704) 316-1220
Location Fax
(704) 316-1230
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(704) 316-1220
Mailing Fax
(704) 316-1230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2006
Last Update Date
06-14-2024
Code Navigator

A pediatrician like Novant Health Pediatric Cardiology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 1718 E 4th St Suite 605
    Charlotte, NC 28204
    (704) 316-1220

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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEA JEANINE WALTON

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(704) 316-6081

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
016XKOTHER (01)NCBCBS
5900388MEDICAID (05)NC 
NPB105MEDICAID (05)SC 

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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 1265488407, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 8 + 8 + 1 + 6 + 4 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265488407.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Physician Assistant
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Counselor (Mental Health)
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Pediatrics (Pediatric Cardiology)
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207
Surgery
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265488407, enumerated as an "organization" on May 26, 2006.

The provider is located at 1918 RANDOLPH RD STE 700 CHARLOTTE, NC 28207 and the phone number is (704) 316-1220.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.