NOVANT HEALTH EASTOVER PEDIATRICS
NPI 1467407494
Pediatrics in Charlotte, NC

Active since May 25, 2006CLIA 34D0244200 · Waiver
517 S SHARON AMITY RD, CHARLOTTE, NC 28211(704) 384-8800(704) 384-8819 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Eastover Pediatrics NPPES

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

NOVANT HEALTH EASTOVER PEDIATRICS (NPI 1467407494) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1467407494
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address517 S SHARON AMITY RDCharlotte, NC 28211-2975
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-8800
Fax(704) 384-8819
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1467407494 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.
517 S SHARON AMITY RD, Charlotte, NC 28211

Other Names 1

Doing Business AsNovant Health Eastover Pediatrics

Other Identifiers 3

MedicaidNPA668SC
Medicaid890271XNC
Other0271XNC · Bcbs-nc

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040204001028Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

561

Medicare enrollment records show 561 clinicians reassign Medicare billing to Novant Health Eastover Pediatrics, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 277 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Obstetrics/Gynecology131
Nurse Practitioner106
Family Practice87
Cardiovascular Disease (Cardiology)78
Certified Nurse Midwife (CNM)40
Internal Medicine21
Interventional Cardiology18
Pediatric Medicine18
15 other specialties62

Nearest to this location (20)

See all 561
Pediatric Medicine
NPI 1356497945
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1073018750
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1265964274
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1659575470
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Nurse Practitioner
NPI 1689439622
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1962603597
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1285950782
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1588749634
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1801413380
517 S SHARON AMITY RD
Charlotte, NC 28211
(704) 384-8800
✔ PECOSSame address
Pediatric Medicine
NPI 1639194764
231 S SHARON AMITY RD
Charlotte, NC 28211
(704) 304-6400
✔ PECOS0.3 mi
Orthopedic Surgery
NPI 1932460235
4741 RANDOLPH RD STE 100
Charlotte, NC 28211
(704) 365-6730
✔ PECOS✔ Accepts Medicare0.5 mi
Orthopedic Surgery
NPI 1033409842
4741 RANDOLPH RD STE 100
Charlotte, NC 28211
(704) 365-6730
✔ PECOS0.5 mi
Certified Nurse Midwife (CNM)
NPI 1740599943
129 GREENWICH RD
Charlotte, NC 28211
(704) 266-6454
✔ PECOS0.5 mi
Certified Nurse Midwife (CNM)
NPI 1437658473
129 GREENWICH RD
Charlotte, NC 28211
(704) 266-6454
✔ PECOS0.5 mi
Family Practice
NPI 1174652606
200 GREENWICH RD
Charlotte, NC 28211
(704) 384-8680
✔ PECOS0.6 mi
Family Practice
NPI 1356335665
200 GREENWICH RD
Charlotte, NC 28211
(704) 384-8680
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1558367680
330 BILLINGSLEY RD STE 100
Charlotte, NC 28211
(704) 405-3953
✔ PECOS✔ Accepts Medicare1.2 mi
Pediatric Medicine
NPI 1366444218
4501 CAMERON VALLEY PKWY STE 100
Charlotte, NC 28211
(704) 367-7400
✔ PECOS2.0 mi
Certified Nurse Midwife (CNM)
NPI 1588044911
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1053783415
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS✔ Accepts Medicare2.4 mi
See all 561 clinicians

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

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 34D0244200

Novant Health Eastover Pediatrics · Charlotte, NC
Active · expires Apr 16, 2027
CLIA Number34D0244200
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorMatthew H. Rankin
Laboratory Phone(704) 384-8800
Laboratory LocationNovant Health Eastover Pediatrics517 South Sharon Amity Road, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1467407494. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Novant Health Eastover Pediatrics.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 517 S Sharon Amity Rd, Charlotte, NC 28211. The listed phone number is (704) 384-8800.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

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

When is Novant Health Medical Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 561 clinicians in 23 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 Obstetrics/Gynecology (131), Nurse Practitioner (106) and Family Practice (87). Of these, 9 practice at this address and 277 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244200) is associated with this NPI, valid through April 16, 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 and Cigna Healthcare 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.