NOVANT MEDICAL GROUP, INC.
NPI 1679232417
Dermatology in Charlotte, NC

Active since December 09, 2021
15033 BALLANCROFT PKWY, CHARLOTTE, NC 28277(704) 384-9437 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2022, Dec 9, 2021 (2 updates tracked since 2021).

About Novant Medical Group, Inc. NPPES

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

NOVANT MEDICAL GROUP, INC. (NPI 1679232417) is a healthcare organization registered as a dermatology in Charlotte, North Carolina and active in the NPI registry since December 2021. The organization lists Shala Davis, Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679232417
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVANT MEDICAL GROUP, INC
Location Address15033 BALLANCROFT PKWYCharlotte, NC 28277-4958
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9437
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Coordinator · (704) 303-7517
Enumeration DateDecember 9, 2021
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1679232417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
15033 BALLANCROFT PKWY, Charlotte, NC 28277

Other Names 2

Doing Business AsNovant Medical Group, Inc.
Doing Business AsNovant Health Dermatology

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

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 Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 440 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Family Practice
NPI 1730222332
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265851091
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942773130
15033 BALLANCROFT PKWY STE 200
Charlotte, NC 28277
(704) 316-2920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568059947
10905 PROVIDENCE RD W
Charlotte, NC 28277
(704) 384-6478
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1124558135
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1477995983
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1962015420
10905 PROVIDENCE RD W SUITE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1942962956
10905 PROVIDENCE RD W STE 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1205476843
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1841036423
10905 PROVIDENCE RD W STE 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.3 mi
Hospitalist
NPI 1225277296
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1558605766
10905 PROVIDENCE RD W SUITE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Hospitalist
NPI 1992017867
10905 PROVIDENCE RD W STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1629863675
10905 PROVIDENCE RD W # 260
Charlotte, NC 28277
(704) 542-0744
✔ PECOS0.3 mi
Family Practice
NPI 1063859361
10905 PROVIDENCE RD W, STE G200
Charlotte, NC 28277
(980) 488-4900
✔ PECOS✔ Accepts Medicare0.3 mi
Registered Dietitian or Nutrition Professional
NPI 1962190504
15200 WYNDHAM OAKS DR
Charlotte, NC 28277
(704) 737-1678
0.6 mi
Pediatric Medicine
NPI 1477711323
16139 LANCASTER HWY STE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOS0.8 mi
Internal Medicine
NPI 1689010894
15015 LANCASTER HWY STE 200
Charlotte, NC 28277
(980) 202-7980
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1992939979
16139 LANCASTER HWY STE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOS0.9 mi
Pediatric Medicine
NPI 1932425428
16139 LANCASTER HWY SUITE 110
Charlotte, NC 28277
(704) 384-1440
✔ PECOS0.9 mi
See all 2,991 clinicians

Source: 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 Medical Group, Inc's NPI number?

The NPI number for Novant Medical Group, Inc is 1679232417. It was assigned to this organization in the NPPES registry on December 9, 2021. The provider is doing business as Novant Medical Group, Inc. and Novant Health Dermatology.

Where is Novant Medical Group, Inc located?

Novant Medical Group, Inc is located at 15033 Ballancroft Pkwy, Charlotte, NC 28277. The listed phone number is (704) 384-9437.

What is Novant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Novant Medical Group, Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Novant Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Medical Group, Inc. 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, 3 practice at this address and 440 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.