SOUTHEAST CHILDREN'S UROLOGY
NPI 1699095331
Urology - Pediatric Urology in Matthews, NC
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
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Children's Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
561Medicare enrollment records show 561 clinicians reassign Medicare billing to Southeast Children's Urology, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 259 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 561Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
Matthews, NC 28105
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 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.
Is Novant Medical Group, Inc. enrolled in Medicare?
Yes. Novant Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is Novant Medical Group, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Novant Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 561 clinicians in 23 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 Obstetrics/Gynecology (131), Nurse Practitioner (106) and Family Practice (87). Of these, 10 practice at this address and 259 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 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.
# Southeast Children's Urology · NPI 1699095331
Pediatric Urology organization in Matthews, North Carolina. Organization record, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1699095331 (Entity type: Organization)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Urology - Pediatric Urology · taxonomy 2088P0231X
- **Legal business name:** Novant Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gardner, VP OF FINANCE
## Practice location
- **Address:** 1401 MATTHEWS TOWNSHIP PKWY, SUITE 312, Matthews, NC 28105-5402
- **Phone:** (704) 384-9530 · **Fax:** (704) 384-9535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 561 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (131), Nurse Practitioner (106), Family Practice (87); 10 practice at this address and 259 within 10 miles; [full list](https://npiprofile.com/npi/1699095331/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1699095331) · Data from the CMS NPPES public registry.