NOVANT HEALTH NORTHLAKE DERMATOLOGY
NPI 1396751640
Dermatology - Dermatopathology in Huntersville, NC

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1396751640. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Novant Health Northlake Dermatology.

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

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since July 31, 2006

9604 HOLLY POINT DR, HUNTERSVILLE, NC 28078(704) 316-5070(704) 316-5075 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Jul 11, 2023, Aug 17, 2021 (3 updates tracked since 2021).

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About Novant Health Northlake Dermatology NPPES

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

NOVANT HEALTH NORTHLAKE DERMATOLOGY (NPI 1396751640) is a healthcare organization registered as a dermatopathology in Huntersville, North Carolina and active in the NPI registry since July 2006. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1396751640

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address9604 HOLLY POINT DRHuntersville, NC 28078-4913

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-5070 · Fax (704) 316-5075

Phone(704) 316-5070

Fax(704) 316-5075

Organization SubpartNo

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

Enumeration DateJuly 31, 2006

Last NPPES UpdateJune 19, 20243 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1396751640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedDermatologyTaxonomy 207N00000X

9604 HOLLY POINT DR, Huntersville, NC 28078

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Other Names 1

Doing Business AsNovant Health Northlake Dermatology

Other Identifiers 3

Other018GVNC · Bcbs

MedicaidNPB181SC

Medicaid5904331NC

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 12

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

JENNIFER LOPEZ FNP

Nurse Practitioner (Family)