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: October 25, 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
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

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

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 Health Pediatrics Blakeney 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 Health Pediatrics Blakeney, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 388 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
Pediatric Medicine
NPI 1609899285
9224 ARDREY KELL RD STE 200
Charlotte, NC 28277
(704) 316-1495
✔ PECOSSame address
Pediatric Medicine
NPI 1366702672
9224 ARDREY KELL RD STE 200
Charlotte, NC 28277
(704) 316-1495
✔ PECOSSame address
Pediatric Medicine
NPI 1144631599
9224 ARDREY KELL RD STE 200
Charlotte, NC 28277
(704) 316-1495
✔ PECOSSame address
Pediatric Medicine
NPI 1639376528
9224 ARDREY KELL RD STE 200
Charlotte, NC 28277
(704) 316-1495
✔ PECOSSame address
Pediatric Medicine
NPI 1497199178
9224 ARDREY KELL RD STE 200
Charlotte, NC 28277
(704) 316-1495
✔ PECOSSame address
Family Practice
NPI 1114468345
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1659346955
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1689630691
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1568985455
5815 BLAKENEY PARK DR STE 200B
Charlotte, NC 28277
(704) 316-5080
✔ PECOS✔ Accepts Medicare0.5 mi
Obstetrics/Gynecology
NPI 1609877091
5933 BLAKENEY PARK DR SUITE 100
Charlotte, NC 28277
(704) 316-2021
✔ PECOS✔ Accepts Medicare0.5 mi
Certified Nurse Midwife (CNM)
NPI 1427080357
5933 BLAKENEY PARK DR SUITE 100
Charlotte, NC 28277
(704) 316-2021
✔ PECOS0.5 mi
Certified Nurse Midwife (CNM)
NPI 1619110418
5933 BLAKENEY PARK DR STE 100
Charlotte, NC 28277
(704) 316-2021
✔ PECOS0.5 mi
Obstetrics/Gynecology
NPI 1992706386
5933 BLAKENEY PARK DR SUITE 100
Charlotte, NC 28277
(704) 384-2021
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1083224653
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare0.9 mi
Neurology
NPI 1295307551
9929 REA RD STE 101
Waxhaw, NC 28173
(704) 316-1055
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1043533045
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1902532815
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare0.9 mi
Neurology
NPI 1063702306
9929 REA RD
Waxhaw, NC 28173
(704) 316-1055
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1669854048
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1861678377
9929 REA RD STE 201
Waxhaw, NC 28173
(704) 316-1650
✔ PECOS✔ Accepts Medicare0.9 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.

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 Rd, Ste 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.

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.

Is Novant Health Medical Group, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. 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, 5 practice at this address and 388 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 and Cigna Healthcare 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.