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: July 19, 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
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

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

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.

Urology
201 QUEENS RD
CHARLOTTE, NC 28204
Physician Assistant
201 QUEENS RD
CHARLOTTE, NC 28204
Specialist/Technologist (Athletic Trainer)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Allergy/Immunology)
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Endocrinology)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Sports Medicine)
201 QUEENS RD
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417477977, enumerated as an "organization" on June 26, 2017.

The provider is located at 201 QUEENS RD CHARLOTTE, NC 28204 and the phone number is (704) 316-5280.

Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.