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NOVANT HEALTH DIABETES & NUTRITION
NPI 1407491905
Nutritionist - Nutrition, Education in Mint Hill, NC

Active since November 08, 2019
11300 CRESTHILL DR STE 100, MINT HILL, NC 28227(980) 302-8500(980) 302-8501 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Nov 8, 2019 (2 updates tracked since 2019).

About Novant Health Diabetes & Nutrition NPPES

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

NOVANT HEALTH DIABETES & NUTRITION (NPI 1407491905) is a healthcare organization registered as a nutrition, education in Mint Hill, North Carolina and active in the NPI registry since November 2019. The organization lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1407491905
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address11300 CRESTHILL DR STE 100Mint Hill, NC 28227-7924
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 302-8500
Fax(980) 302-8501
Organization SubpartYes
Authorized OfficialShala DavisEnrollment Manager · (704) 316-7845
Enumeration DateNovember 8, 2019
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1407491905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
11300 CRESTHILL DR STE 100, Mint Hill, NC 28227
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Other Names 1

Doing Business AsNovant Health Diabetes & Nutrition

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

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.

MICHELE TRANG THI HO M.D.
Internal Medicine
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550
KIM MARIE FOUST MD
Internal Medicine
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550
NOVANT MEDICAL GROUP, INC.
Obstetrics & Gynecology
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (704) 316-2319
RAHEL HAILEMICHAEL WOLDEMARIAM MD
Family Medicine
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550
SHIVESH KUMAR VERMA M.D.
Family Medicine
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550
MRS. TARRA MARSH BOYD FNP
Nurse Practitioner
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550
POLINA CHERKEZ HARTLEY MSM, MMS, PA-C
Physician Assistant
11300 CRESTHILL DR STE 100
MINT HILL, NC 28227
Mecklenburg County (980) 302-3550

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 Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1407491905. It was assigned to this organization in the NPPES registry on November 8, 2019. The provider is doing business as Novant Health Diabetes & Nutrition.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 11300 Cresthill Dr Ste 100, Mint Hill, NC 28227. The listed phone number is (980) 302-8500.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.