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

Q: 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.

Q: What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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: August 16, 2026.

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

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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 ›

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.

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 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.

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.