NOVANT HEALTH PEDIATRICS HARRISBURG
NPI 1558828194
Pediatrics in Harrisburg, NC

Q: What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1558828194. It was assigned to this organization in the NPPES registry on March 1, 2019. The provider is doing business as Novant Health Pediatrics Harrisburg.

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

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

Active since March 01, 2019CLIA 34D2164784 · Waiver

6555 KEE LN STE 200, HARRISBURG, NC 28075(704) 316-6140(704) 316-6141 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 11, 2023, Aug 16, 2021 and 2 more (5 updates tracked since 2019).

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About Novant Health Pediatrics Harrisburg NPPES

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

NOVANT HEALTH PEDIATRICS HARRISBURG (NPI 1558828194) is a healthcare organization registered as a pediatrics in Harrisburg, North Carolina and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1558828194

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address6555 KEE LN STE 200Harrisburg, NC 28075-7463

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-6140

Fax(704) 316-6141

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateMarch 1, 2019

Last NPPES UpdateJune 20, 20245 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1558828194 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.

6555 KEE LN STE 200, Harrisburg, NC 28075

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Other Names 1

Doing Business AsNovant Health Pediatrics Harrisburg

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 34D2164784

Novant Health Pediatrics Harrisburg · Harrisburg, NC

Active · expires Apr 12, 2027

CLIA Number34D2164784

Laboratory TypePhysician Office

Certificate Effective DateApril 13, 2025

Certificate Expiration DateApril 12, 2027

Laboratory DirectorColleen R. Black

Laboratory Phone(704) 316-6140

Laboratory LocationNovant Health Pediatrics Harrisburg6555 Kee Lane Suite 200, Harrisburg, NC 28075

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 10

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

CAROL J SOUCIE MD

Pediatrics