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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Pediatric Pulmonology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Pediatric Pulmonology, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 870 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Nurse Practitioner
NPI 1174106702
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1922568450
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1730443441
201 QUEENS RD
Charlotte, NC 28204
(704) 316-3022
✔ PECOSSame address
Pediatric Medicine
NPI 1811062615
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
✔ PECOSSame address
Pediatric Medicine
NPI 1952537185
201 QUEENS RD
Charlotte, NC 28204
(704) 316-1020
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1841216512
201 QUEENS RD
Charlotte, NC 28204
(704) 316-5285
Same address
Interventional Cardiology
NPI 1053524967
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Electrophysiology
NPI 1891793121
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS0.1 mi
Family Practice
NPI 1811918485
125 QUEENS RD STE 330
Charlotte, NC 28204
(704) 384-5043
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1982600201
125 QUEENS RD STE 200
Charlotte, NC 28204
(704) 343-9800
✔ PECOS✔ Accepts Medicare0.1 mi
Physician Assistant
NPI 1164741724
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1578061065
125 QUEENS RD STE 520
Charlotte, NC 28204
(980) 302-6500
✔ PECOS✔ Accepts Medicare0.1 mi
Hospice/Palliative Care
NPI 1356484232
125 QUEENS RD STE 510
Charlotte, NC 28204
(980) 302-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1407849532
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1841818507
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-2340
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1902928799
125 QUEENS RD STE 250
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology
NPI 1497957112
125 QUEENS RD STE 610
Charlotte, NC 28204
(980) 302-6600
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1467840702
125 QUEENS RD STE 330
Charlotte, NC 28204
(704) 384-5043
✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1588009310
125 QUEENS RD STE 430
Charlotte, NC 28204
(980) 302-6700
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1922264498
125 QUEENS RD STE 520
Charlotte, NC 28204
(980) 302-6500
✔ PECOS✔ Accepts Medicare0.1 mi
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 6 practice at this address and 870 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.