NOVANT HEALTH PEDIATRIC NEUROLOGY & SLEEP - NPI 1366409492 - Psychiatry & Neurology in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

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About Novant Health Pediatric Neurology & Sleep NPPES

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

NOVANT HEALTH PEDIATRIC NEUROLOGY & SLEEP (NPI 1366409492) is a healthcare organization registered as a neurology with special qualifications in child neurology in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1366409492

Entity TypeOrganization

Primary Taxonomy2084N0402X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address1900 RANDOLPH RD STE 1010Charlotte, NC 28207-1117

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1390 · Fax (704) 384-1063

Phone(704) 384-1390

Fax(704) 384-1063

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateMay 1, 2006

Last NPPES UpdateJune 14, 2024

NPPES CertifiedJune 14, 2024

✔ NPI 1366409492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X

1900 RANDOLPH RD STE 1010, Charlotte, NC 28207

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Other Names 1

Doing Business AsNovant Health Pediatric Neurology & Sleep

Other Identifiers 3

MedicaidNPB151SC

Other017U7NC · Bcbs Nc

Medicaid5902989NC

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 10

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

MRS. GLORIA MCDANIEL-MASSEY LPN

Licensed Practical Nurse