NOVANT HEALTH PEDIATRIC SPORTS MEDICINE
NPI 1639695133
Pediatrics - Sports Medicine in Charlotte, NC

Q: 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.

Q: 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.

Active since August 16, 2017

201 QUEENS RD, CHARLOTTE, NC 28204(704) 316-1070 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Jul 11, 2023, Aug 16, 2021 and 4 more (7 updates tracked since 2017).

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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

NPI1639695133

Entity TypeOrganization

Primary Taxonomy2080S0010X

Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC

Location Address201 QUEENS RDCharlotte, NC 28204

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-1070

Organization SubpartNo

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

Enumeration DateAugust 16, 2017

Last NPPES UpdateJuly 11, 20247 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1639695133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

201 QUEENS RD, Charlotte, NC 28204

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Other Names 1

Doing Business AsNovant Health Pediatric Sports Medicine

Secondary Practice Locations 3

Location 11918 Randolph Rd Ste 100Charlotte, NC 28207-1107 · Phone (704) 384-7834

Location 21401 Matthews Township Pkwy Ste 100Matthews, NC 28105-5403 · Phone (704) 316-1070

Location 35370 Ridge RdCharlotte, NC 28269-2298 · Phone (704) 316-1020

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 ›

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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.

NOVANT HEALTH MEDICAL GROUP, LLC

Internal Medicine (Pulmonary Disease)