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NOVANT HEALTH PEDIATRICS BLAKENEY
NPI 1760989941
Pediatrics in Charlotte, NC

Active since April 12, 2018CLIA 34D2148821 · Waiver
9224 ARDREY KELL RD STE 200, CHARLOTTE, NC 28277(704) 316-1495(704) 316-1496 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 11, 2023, Aug 16, 2021 and 2 more (5 updates tracked since 2018).

About Novant Health Pediatrics Blakeney NPPES

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

NOVANT HEALTH PEDIATRICS BLAKENEY (NPI 1760989941) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through April 7, 2028, maintains a secondary practice location in Charlotte, and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1760989941
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address9224 ARDREY KELL RD STE 200Charlotte, NC 28277-4952
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(704) 316-1495
Fax(704) 316-1496
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateApril 12, 2018
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1760989941 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.
9224 ARDREY KELL RD STE 200, Charlotte, NC 28277
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Other Names 1

Doing Business AsNovant Health Pediatrics Blakeney

Secondary Practice Location 1

Location 112611 N Community House Rd Ste 200Charlotte, NC 28277-3597 · Phone (704) 384-9679

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 34D2148821

Novant Health Pediatrics Blakeney · Charlotte, NC
Active · expires Apr 7, 2028
CLIA Number34D2148821
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorLaura M. Netzley
Laboratory Phone(704) 316-1495
Laboratory LocationNovant Health Pediatrics Blakeney9224 Ardrey Kell Road, Suite 200, Charlotte, NC 28277
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 6

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

DR. LAURA MARIE NETZLEY MD
Pediatrics
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495
DR. RACHAEL RIDER FOURNET MD
Pediatrics
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495
IVANA VUKOVIC M.D.
Pediatrics
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495
WILMA THEODORA DOWNING MD
Pediatrics
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495
DR. ANKUR N SHAH M.D.
Pediatrics
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495
DR. STACY KAY KOBE OTD, OTR/L
Occupational Therapist
9224 ARDREY KELL RD STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-1495

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 1760989941. It was assigned to this organization in the NPPES registry on April 12, 2018. The provider is doing business as Novant Health Pediatrics Blakeney.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 9224 Ardrey Kell Rd Ste 200, Charlotte, NC 28277. The listed phone number is (704) 316-1495.

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 34D2148821) is associated with this NPI, valid through April 7, 2028. 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.