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NOVANT HEALTH PEDIATRIC PULMONOLOGY
NPI 1417477977
Pediatrics - Pediatric Pulmonology in Charlotte, NC

Active since June 26, 2017
201 QUEENS RD, CHARLOTTE, NC 28204(704) 316-5280(704) 316-5282 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Jul 11, 2023, Aug 16, 2021 and 4 more (7 updates tracked since 2017).

About Novant Health Pediatric Pulmonology NPPES

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

NOVANT HEALTH PEDIATRIC PULMONOLOGY (NPI 1417477977) is a healthcare organization registered as a pediatric pulmonology in Charlotte, North Carolina and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Charlotte and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1417477977
Entity TypeOrganization
Primary Taxonomy2080P0214X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address201 QUEENS RDCharlotte, NC 28204-3217
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-5280 · Fax (704) 316-5282
Phone(704) 316-5280
Fax(704) 316-5282
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 26, 2017
Last NPPES UpdateJune 14, 20247 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1417477977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
201 QUEENS RD, Charlotte, NC 28204
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Other Names 1

Doing Business AsNovant Health Pediatric Pulmonology

Secondary Practice Location 1

Location 11918 Randolph Rd Ste 700Charlotte, NC 28207-1167 · Phone (704) 384-1056 · Fax (704) 384-1046

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 20

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

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Pulmonary Disease)
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5280
NOVANT MEDICAL GROUP, INC
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5820
NOVANT MEDICAL GROUP, INC.
Pediatrics (Pediatric Allergy/Immunology)
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-9022
NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7680
ALYSE MICHELLE BERGER PNP
Nurse Practitioner
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5285
NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-3022
KIRA MOLLENKOPF SEGEBARTH RD, CPNP
Nurse Practitioner (Pediatrics)
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5910
JESSICA RAE CUMMINS FNP-C
Nurse Practitioner (Family)
201 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 372-5180

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 1417477977. It was assigned to this organization in the NPPES registry on June 26, 2017. The provider is doing business as Novant Health Pediatric Pulmonology.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 201 Queens Rd, Charlotte, NC 28204. The listed phone number is (704) 316-5280.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

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 14, 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.