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NOVANT HEALTH DILWORTH PEDIATRICS
NPI 1356396915
Pediatrics in Charlotte, NC

Active since May 23, 2006CLIA 34D1027233 · Waiver
1315 EAST BLVD, SUITE 280, CHARLOTTE, NC 28203(704) 384-1866(704) 384-1867 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Dilworth Pediatrics NPPES

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

NOVANT HEALTH DILWORTH PEDIATRICS (NPI 1356396915) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1356396915
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1315 EAST BLVD, SUITE 280Charlotte, NC 28203-5793
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1866 · Fax (704) 384-1867
Phone(704) 384-1866
Fax(704) 384-1867
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 23, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1356396915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1315 EAST BLVD, Charlotte, NC 28203
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Other Names 1

Doing Business AsNovant Health Dilworth Pediatrics

Other Identifiers 3

Other015UUNC · Bcbs-nc
Medicaid89015UUNC
MedicaidNPB261SC

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1027233

Novant Health Dilworth Pediatrics · Charlotte, NC
Active · expires Dec 31, 2027
CLIA Number34D1027233
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorMargaret Siegel
Laboratory Phone(704) 384-1866
Laboratory LocationNovant Health Dilworth Pediatrics1315 East Boulevard, Suite 280, Charlotte, NC 28203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SAMEENA SHIREEN HASSAN MD
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866
MARGARET PAYNE SIEGEL M.D
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866
KATHRYN J SUDIKOFF DMD PLLC
Clinic/Center (Dental)
1315 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 632-9922
DR. JONATHAN KOCMOND M.D.
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866
WIRT NEALE M.D.
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866
DR. ALLISON DUDLEY M.D.
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866
DR. CATHERINE SAULS OHMSTEDE MD
Pediatrics
1315 EAST BLVD, SUITE 280
CHARLOTTE, NC 28203
Mecklenburg County (704) 384-1866

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 1356396915. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Novant Health Dilworth Pediatrics.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1315 East Blvd Suite 280, Charlotte, NC 28203. The listed phone number is (704) 384-1866.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1027233) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 20, 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.