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NOVANT HEALTH PEDIATRICS SOUTH BALLANTYNE
NPI 1790725299
Pediatrics in Charlotte, NC

Active since June 07, 2006CLIA 34D0688109 · Waiver
16139 LANCASTER HWY, SUITE 110, CHARLOTTE, NC 28277(704) 384-1440(704) 384-1452 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 (3 updates tracked since 2021).

About Novant Health Pediatrics South Ballantyne NPPES

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

NOVANT HEALTH PEDIATRICS SOUTH BALLANTYNE (NPI 1790725299) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1790725299
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address16139 LANCASTER HWY, SUITE 110Charlotte, NC 28277-2033
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1440 · Fax (704) 384-1452
Phone(704) 384-1440
Fax(704) 384-1452
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1790725299 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.
16139 LANCASTER HWY, Charlotte, NC 28277
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Other Names 1

Doing Business AsNovant Health Pediatrics South Ballantyne

Other Identifiers 3

Other011JFNC · Bcbs Nc
MedicaidNPA897SC
Medicaid89011JFNC

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 34D0688109

Novant Health Pediatrics - South Ballantyne · Charlotte, NC
Active · expires Sep 14, 2027
CLIA Number34D0688109
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMelissa M. Taylor
Laboratory Phone(704) 384-1440
Laboratory LocationNovant Health Pediatrics - South Ballantyne16139 Lancaster Highway, Suite 110, 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 2

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

NOVANT MEDICAL GROUP INC
Pediatrics (Pediatric Gastroenterology)
16139 LANCASTER HWY, SUITE 110
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-5060
DR. MELISSA MCLANE TAYLOR MD
Pediatrics
16139 LANCASTER HWY, SUITE 110
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1440

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 1790725299. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Novant Health Pediatrics South Ballantyne.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 16139 Lancaster Hwy Suite 110, Charlotte, NC 28277. The listed phone number is (704) 384-1440.

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 34D0688109) is associated with this NPI, valid through September 14, 2027. 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.