SOUTHEAST CHILDREN'S UROLOGY
NPI 1699095331
Urology - Pediatric Urology in Matthews, NC

Q: What is Novant Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1699095331. It was assigned to this organization in the NPPES registry on June 4, 2010. The provider is doing business as Southeast Children's Urology.

Q: What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since June 04, 2010

1401 MATTHEWS TOWNSHIP PKWY, SUITE 312, MATTHEWS, NC 28105(704) 384-9530(704) 384-9535 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeast Children's Urology NPPES

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

SOUTHEAST CHILDREN'S UROLOGY (NPI 1699095331) is a healthcare organization registered as a pediatric urology in Matthews, North Carolina and active in the NPI registry since June 2010. The organization lists Geoffrey Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1699095331

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameNOVANT MEDICAL GROUP, INC.

Location Address1401 MATTHEWS TOWNSHIP PKWY, SUITE 312Matthews, NC 28105-5402

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830

Phone(704) 384-9530

Fax(704) 384-9535

Organization SubpartNo

Authorized OfficialGeoffrey GardnerVp Of Finance · (704) 384-9094

Enumeration DateJune 4, 2010

✔ NPI 1699095331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X

1401 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105

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Other Names 1

Doing Business AsSoutheast Children's Urology

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

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.

TARAH FAUST PTA

Physical Therapy Assistant

1401 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105

Mecklenburg County (704) 831-4153

NOVANT MEDICAL GROUP, INC.

Pediatrics (Pediatric Cardiology)

1401 MATTHEWS TOWNSHIP PKWY, SUITE 312
MATTHEWS, NC 28105

Mecklenburg County (704) 316-1220

DONNA C KNOWLTON DDS PLLC

Dentist

1401 MATTHEWS TOWNSHIP PKWY, STE 210
MATTHEWS, NC 28105

Mecklenburg County (704) 844-0014

ATRIUM HEALTH NEUROSPINE NETWORK LLC

Neurological Surgery

1401 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105

Mecklenburg County (704) 831-4150

MS. SARA R WHITE NP

Nurse Practitioner

1401 MATTHEWS TOWNSHIP PKWY, SUITE 200
MATTHEWS, NC 28105

Mecklenburg County (704) 384-6901

NOVANT MEDICAL GROUP, INC.

Pediatrics (Developmental - Behavioral Pediatrics)

1401 MATTHEWS TOWNSHIP PKWY, SUITE 100
MATTHEWS, NC 28105

Mecklenburg County (704) 316-1155

KHAWAR MUSTAQ SHAIKH MD

Internal Medicine (Interventional Cardiology)

1401 MATTHEWS TOWNSHIP PKWY, SUITE 110
MATTHEWS, NC 28105

Mecklenburg County (704) 264-3500

DR. LATONYA DANIELLE GRIFFIN M.D.

Psychiatry & Neurology (Psychiatry)

1401 MATTHEWS TOWNSHIP PKWY, SUITE 320
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3145

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 1699095331. It was assigned to this organization in the NPPES registry on June 4, 2010. The provider is doing business as Southeast Children's Urology.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 1401 Matthews Township Pkwy Suite 312, Matthews, NC 28105. The listed phone number is (704) 384-9530.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.