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NOVANT HEALTH MATTHEWS CHILDREN'S CLINIC
NPI 1770522484
Pediatrics in Matthews, NC

Active since June 06, 2006CLIA 34D0243252 · Certificate of Compliance
1401 MATTHEWS TOWNSHIP PKWY, SUITE 100, MATTHEWS, NC 28105(704) 384-1080(704) 384-1122 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2024, Jul 11, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Novant Health Matthews Children's Clinic NPPES

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

NOVANT HEALTH MATTHEWS CHILDREN'S CLINIC (NPI 1770522484) is a healthcare organization registered as a pediatrics in Matthews, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 26, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1770522484
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1401 MATTHEWS TOWNSHIP PKWY, SUITE 100Matthews, NC 28105-5403
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1080 · Fax (704) 384-1122
Phone(704) 384-1080
Fax(704) 384-1122
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1770522484 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.
1401 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105
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Other Names 1

Doing Business AsNovant Health Matthews Children's Clinic

Other Identifiers 3

Other0273TNC · Bcbs-nc
Medicaid890273TNC
MedicaidNPA879SC

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 ›

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 Matthews Children's Clinic 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 Matthews Children's Clinic, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 910 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
Jared Barrow
Nurse Practitioner
NPI 1164131637
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 316-3131
✔ PECOS✔ Accepts MedicareSame address
Emily Black, LCMHC
Mental Health Counselor
NPI 1427516996
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Amber Bullock
Mental Health Counselor
NPI 1609038173
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOSSame address
Quinn Carroll, LCSW
Clinical Social Worker
NPI 1205931946
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Kelly Coleman, FNP
Nurse Practitioner
NPI 1497107536
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 316-3131
✔ PECOS✔ Accepts MedicareSame address
Shelley Everts, FNP
Nurse Practitioner
NPI 1326253774
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Cheryl Ferraro, LCMHC
Mental Health Counselor
NPI 1174995831
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Federlin Jean
Internal Medicine
NPI 1962031740
1401 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 384-6901
✔ PECOS✔ Accepts MedicareSame address
Jasjeet Khural
Cardiovascular Disease (Cardiology)
NPI 1922492909
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
Merideth Lahoud, NP
Nurse Practitioner
NPI 1275211070
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOS✔ Accepts MedicareSame address
Gangadhar Malasana, MD
Cardiovascular Disease (Cardiology)
NPI 1891948014
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 316-3131
✔ PECOS✔ Accepts MedicareSame address
Tesfaldet Michael, MD
Cardiovascular Disease (Cardiology)
NPI 1376702522
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
Sampreeth Murali
Psychiatry
NPI 1760060024
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Robert Price, MD
Cardiovascular Disease (Cardiology)
NPI 1760480735
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
Marketta Ray
Mental Health Counselor
NPI 1134685845
1401 MATTHEWS TOWNSHIP PKWY STE 320
Matthews, NC 28105
(704) 384-1261
✔ PECOS✔ Accepts MedicareSame address
Sunita Sharma, M.D., PH. D.
Cardiovascular Disease (Cardiology)
NPI 1457650566
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
Melanie Stanislawski, DO
Internal Medicine
NPI 1407415789
1401 MATTHEWS TOWNSHIP PKWY STE 200
Matthews, NC 28105
(704) 384-6901
✔ PECOSSame address
Lokesh Tejwani, MD
Cardiovascular Disease (Cardiology)
NPI 1457302754
1401 MATTHEWS TOWNSHIP PKWY STE 110
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
Jayme Wood
Pediatric Medicine
NPI 1720737182
1401 MATTHEWS TOWNSHIP PKWY STE 100
Matthews, NC 28105
(704) 384-1080
✔ PECOSSame address
Laura Younce, MD
Cardiovascular Disease (Cardiology)
NPI 1407854540
1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Matthews, NC 28105
(704) 316-3131
✔ PECOSSame address
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 Compliance 34D0243252

Novant Health Matthews Children's Clinic · Matthews, NC
Active · expires May 26, 2028
CLIA Number34D0243252
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorCharles M. Blanton
Laboratory Phone(704) 384-1080
Laboratory LocationNovant Health Matthews Children's Clinic1401 Matthews Township Parkway, Suite 100, Matthews, NC 28105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1770522484. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Novant Health Matthews Children's Clinic.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1401 Matthews Township Pkwy Suite 100, Matthews, NC 28105. The listed phone number is (704) 384-1080.

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, 20 practice at this address and 910 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 Compliance (number 34D0243252) is associated with this NPI, valid through May 26, 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.