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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: July 26, 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
Phone(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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

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.

MR. IRVING H. EDELSTEIN LCSW
Social Worker (Clinical)
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-1555
DR. MARY FELKNER MD
Pediatrics
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
HERBERT CLEGG II MD
Pediatrics
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
DR. EDWARD MARTIN M.D.
Pediatrics
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
JAN RAPISARDO PNP
Nurse Practitioner (Pediatrics)
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
JUDITH H. OSBORN NP
Nurse Practitioner (Family)
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
LAURA M WALBY MD
Pediatrics
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800
DR. MATTHEW HALL RANKIN MD
Pediatrics
517 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-8800

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.

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 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 with the weekly NPPES data releases published by CMS.