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NOVANT HEALTH PEDIATRICS SYMPHONY PARK
NPI 1407369440
Pediatrics in Charlotte, NC

Active since November 13, 2017CLIA 34D2141631 · Waiver
6010 CARNEGIE BLVD, CHARLOTTE, NC 28209(704) 384-9966(704) 384-9967 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 11, 2023, Aug 16, 2021 and 2 more (5 updates tracked since 2017).

About Novant Health Pediatrics Symphony Park NPPES

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

NOVANT HEALTH PEDIATRICS SYMPHONY PARK (NPI 1407369440) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 31, 2027, maintains a secondary practice location in Matthews, and lists Leea Jeanine Walton, Edi Manager, as its authorized official.

NPPES Registry Identity

NPI1407369440
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address6010 CARNEGIE BLVDCharlotte, NC 28209-4637
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-9966
Fax(704) 384-9967
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEdi Manager · (704) 316-6081
Enumeration DateNovember 13, 2017
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1407369440 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.
6010 CARNEGIE BLVD, Charlotte, NC 28209
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Other Names 1

Doing Business AsNovant Health Pediatrics Symphony Park

Secondary Practice Location 1

Location 14105 Matthews Mint Hill RdMatthews, NC 28105-3633 · Phone (704) 384-9966

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 34D2141631

Novant Health Pediatrics Symphony Park · Charlotte, NC
Active · expires Dec 31, 2027
CLIA Number34D2141631
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorAndrew R. Shulstad
Laboratory Phone(704) 384-9966
Laboratory LocationNovant Health Pediatrics Symphony Park6010 Carnegie Boulevard, Charlotte, NC 28209
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 8

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

ELIZABETH MARIE O'NEIL MD
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
KASEY WYMER SCANNELL MD
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
ANDREW ROBERT SHULSTAD M.D.
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
KERRY T VAN VOORHIS MD
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
DR. TRAVIS MICHAEL KOZAK MD, MBA
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
MRS. DANETTE RACHELLE ANDERSEN IBCLC
Lactation Consultant, Non-RN
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
ANJA SKLJAREVSKI MD
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966
MICHAEL J. BEAN MD
Pediatrics
6010 CARNEGIE BLVD
CHARLOTTE, NC 28209
Mecklenburg County (704) 384-9966

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 1407369440. It was assigned to this organization in the NPPES registry on November 13, 2017. The provider is doing business as Novant Health Pediatrics Symphony Park.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 6010 Carnegie Blvd, Charlotte, NC 28209. The listed phone number is (704) 384-9966.

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 34D2141631) 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.