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NOVANT HEALTH PEDIATRICS CONCORD
NPI 1689139693
Pediatrics in Concord, NC

Active since February 04, 2019CLIA 34D2163871 · Waiver
311 CODDLE MARKET DR NW, STE 100, CONCORD, NC 28027(980) 302-9100 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Novant Health Pediatrics Concord NPPES

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

NOVANT HEALTH PEDIATRICS CONCORD (NPI 1689139693) is a healthcare organization registered as a pediatrics in Concord, North Carolina and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1689139693
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address311 CODDLE MARKET DR NW, STE 100Concord, NC 28027-2432
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(980) 302-9100
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateFebruary 4, 2019
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1689139693 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.
311 CODDLE MARKET DR NW, Concord, NC 28027
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Other Names 1

Doing Business AsNovant Health Pediatrics Concord

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 34D2163871

Novant Health Pediatrics Concord · Concord, NC
Active · expires Aug 28, 2027
CLIA Number34D2163871
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorStephen Lods
Laboratory Phone(980) 302-9100
Laboratory LocationNovant Health Pediatrics Concord311 Coddle Market Drive NW, Suite 100, Concord, NC 28027
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 4

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

KYMBERLY FLOYD SELDEN MD
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Cabarrus County (980) 302-9100
NOVANT MEDICAL GROUP INC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
311 CODDLE MARKET DR NW, STE 200
CONCORD, NC 28027
Cabarrus County (704) 384-1390
STEPHEN LODS MD
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Cabarrus County (980) 302-9100
DR. TARA GOODLETT GAINES MD
Pediatrics
311 CODDLE MARKET DR NW, STE 100
CONCORD, NC 28027
Cabarrus County (980) 302-9100

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 1689139693. It was assigned to this organization in the NPPES registry on February 4, 2019. The provider is doing business as Novant Health Pediatrics Concord.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 311 Coddle Market Dr NW Ste 100, Concord, NC 28027. The listed phone number is (980) 302-9100.

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 34D2163871) is associated with this NPI, valid through August 28, 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 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.