NOVANT HEALTH PEDIATRIC SPORTS MEDICINE
NPI 1639695133
Pediatrics - Sports Medicine in Charlotte, NC
About Novant Health Pediatric Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH PEDIATRIC SPORTS MEDICINE (NPI 1639695133) is a healthcare organization registered as a sports medicine in Charlotte, North Carolina and active in the NPI registry since August 2017. The organization maintains 3 additional practice locations and lists Leea Jeanine Walton, Edi Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Group Practice 1
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 Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,991Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Pediatric Sports Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 868 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 63
Nearest to this location (20)
See all 2,991Source: 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 1639695133. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Novant Health Pediatric Sports Medicine.
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) 316-1070.
What is Novant Health Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.
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 868 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 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 July 11, 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.
# Novant Health Pediatric Sports Medicine · NPI 1639695133
Sports Medicine organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since August 16, 2017.
## Identity
- **NPI:** 1639695133 (Entity type: Organization)
- **Enumerated:** August 16, 2017
- **Primary specialty:** Pediatrics - Sports Medicine · taxonomy 2080S0010X
- **Legal business name:** Novant Health Medical Group, Llc
- **Organization subpart:** No
- **Authorized official:** Leea Walton, EDI MANAGER
## Practice location
- **Address:** 201 QUEENS RD, Charlotte, NC 28204
- **Phone:** (704) 316-1070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,991 clinicians in 63 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (759), Family Practice (327), Hospitalist (302); 6 practice at this address and 868 within 10 miles; [full list](https://npiprofile.com/npi/1639695133/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639695133) · Data from the CMS NPPES public registry.