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: October 18, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Pediatric Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Pediatric Cardiology, which bills Medicare for the services they deliver. Of these, 75 practice at this address and 871 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Family Practice
NPI 1013177138
1918 RANDOLPH RD STE 275
Charlotte, NC 28207
(704) 384-1354
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1225514557
1918 RANDOLPH RD STE 670
Charlotte, NC 28207
(704) 384-1620
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942939822
1918 RANDOLPH RD STE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023686185
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1952394785
1918 RANDOLPH RD SUITE 175
Charlotte, NC 28207
(704) 316-1050
✔ PECOSSame address
Pediatric Medicine
NPI 1639339450
1918 RANDOLPH RD STE 700
Charlotte, NC 28207
(704) 316-1220
✔ PECOSSame address
Orthopedic Surgery
NPI 1205895513
1918 RANDOLPH RD STE 130
Charlotte, NC 28207
(704) 316-6005
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1871756759
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOSSame address
Endocrinology
NPI 1760724983
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1245630854
1918 RANDOLPH RD SUITE 400
Charlotte, NC 28207
(704) 384-9437
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1649622309
1918 RANDOLPH RD STE 210
Charlotte, NC 28207
(704) 316-5060
✔ PECOSSame address
Pulmonary Disease
NPI 1770542193
1918 RANDOLPH RD STE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1740506450
1918 RANDOLPH RD STE 580
Charlotte, NC 28207
(704) 384-9900
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1801602875
1918 RANDOLPH RD STE 220
Charlotte, NC 28207
(704) 316-1125
✔ Accepts MedicareSame address
Hospitalist
NPI 1679525471
108 PROVIDENCE RD
Charlotte, NC 28207
(336) 481-8655
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1215593777
1900 RANDOLPH RD STE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1093009698
1900 RANDOLPH RD STE 216
Charlotte, NC 28207
(704) 316-5330
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1609019322
1900 RANDOLPH RD SUITE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1194308551
1900 RANDOLPH RD STE 800
Charlotte, NC 28207
(704) 384-1246
✔ PECOSSame address
Sleep Medicine
NPI 1376753061
1900 RANDOLPH RD STE 1010
Charlotte, NC 28207
(704) 316-1062
✔ PECOSSame address
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 75 practice at this address and 871 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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.