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NOVANT HEALTH CHILD AND ADOLESCENT MEDICAL GROUP
NPI 1386019891
Pediatrics - Adolescent Medicine in Waxhaw, NC

Active since December 09, 2015
3614 PROVIDENCE RD S, SUITE 101, WAXHAW, NC 28173(704) 384-8460(704) 384-8465 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 and 2 more (5 updates tracked since 2015).

About Novant Health Child And Adolescent Medical Group NPPES

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

NOVANT HEALTH CHILD AND ADOLESCENT MEDICAL GROUP (NPI 1386019891) is a healthcare organization registered as an adolescent medicine in Waxhaw, North Carolina and active in the NPI registry since December 2015. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1386019891
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address3614 PROVIDENCE RD S, SUITE 101Waxhaw, NC 28173-6309
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Phone(704) 384-8460
Fax(704) 384-8465
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateDecember 9, 2015
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1386019891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3614 PROVIDENCE RD S, Waxhaw, NC 28173
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Other Names 1

Doing Business AsNovant Health Child And Adolescent Medical Group

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 6

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

MR. ANTHONY Q. WALKER PHYSICAL THERAPIST
Physical Therapist
3614 PROVIDENCE RD S, SUITE 200
WAXHAW, NC 28173
Union County (704) 384-8640
NOVANT MEDICAL GROUP, INC
Orthopaedic Surgery
3614 PROVIDENCE RD S, SUITE 200
WAXHAW, NC 28173
Union County (704) 367-4800
DR. ROBERT MALECKI M.D.
Family Medicine
3614 PROVIDENCE RD S, SUITE 200
WAXHAW, NC 28173
Union County (704) 384-8640
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
3614 PROVIDENCE RD S, SUITE 100
WAXHAW, NC 28173
Union County (704) 384-8640
SHERRY DEMAISON FNP
Nurse Practitioner
3614 PROVIDENCE RD S, SUITE 200
WAXHAW, NC 28173
Union County (704) 384-8640
DR. CASSIE LYNNAE LINKER BOLAND PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3614 PROVIDENCE RD S, STE 200
WAXHAW, NC 28173
Union County (704) 384-8640

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 1386019891. It was assigned to this organization in the NPPES registry on December 9, 2015. The provider is doing business as Novant Health Child And Adolescent Medical Group.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 3614 Providence Rd S Suite 101, Waxhaw, NC 28173. The listed phone number is (704) 384-8460.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

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.