SOUTHEAST CHILDREN'S UROLOGY
NPI 1881707487
Urology - Pediatric Urology in Huntersville, NC

Active since August 16, 2006
16525 HOLLY CREST LN, SUITE 230, HUNTERSVILLE, NC 28078(704) 316-5140(704) 316-5145 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Children's Urology NPPES

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

SOUTHEAST CHILDREN'S UROLOGY (NPI 1881707487) is a healthcare organization registered as a pediatric urology in Huntersville, North Carolina and active in the NPI registry since August 2006. The organization lists Dinesh S Pai, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1881707487
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address16525 HOLLY CREST LN, SUITE 230Huntersville, NC 28078-4909
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Fax(704) 316-5145
Organization SubpartNo
Authorized OfficialDinesh S PaiVp Of Operations · (704) 384-9104
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1881707487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
16525 HOLLY CREST LN, Huntersville, NC 28078

Other Names 1

Doing Business AsSoutheast Children's Urology

Other Identifiers 4

Medicaid5904654NC
MedicaidNPB185SC
Other018J1NC · Bcbs
Medicare PIN2344688MNC

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Children's Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040204001028Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

561

Medicare enrollment records show 561 clinicians reassign Medicare billing to Southeast Children's Urology, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Obstetrics/Gynecology131
Nurse Practitioner106
Family Practice87
Cardiovascular Disease (Cardiology)78
Certified Nurse Midwife (CNM)40
Internal Medicine21
Interventional Cardiology18
Pediatric Medicine18
15 other specialties62

Nearest to this location (20)

See all 561
Nurse Practitioner
NPI 1144573486
16525 HOLLY CREST LN STE 120
Huntersville, NC 28078
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255589099
16525 HOLLY CREST LN STE 210
Huntersville, NC 28078
(704) 316-7760
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316244106
16525 HOLLY CREST LN STE 150
Huntersville, NC 28078
(704) 384-8720
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1164659322
16525 HOLLY CREST LN STE 150
Huntersville, NC 28078
(704) 384-8720
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1669789772
14330 OAKHILL PARK LN STE 115
Huntersville, NC 28078
(704) 316-1265
2.0 mi
Family Practice
NPI 1093760324
14330 OAKHILL PARK LN STE 200B
Huntersville, NC 28078
(704) 316-1265
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1215916119
14330 OAKHILL PARK LN SUITE 200-B
Huntersville, NC 28078
(704) 316-1265
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1275580706
9615 KINCEY AVE SUITE 100
Huntersville, NC 28078
(704) 316-5635
✔ PECOS✔ Accepts Medicare2.4 mi
Internal Medicine
NPI 1902111412
9615 KINCEY AVE STE 100
Huntersville, NC 28078
(704) 316-5635
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1770138489
9930 KINCEY AVE STE 200
Huntersville, NC 28078
(704) 887-4530
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1841712460
9930 KINCEY AVE STE 200
Huntersville, NC 28078
(704) 887-4530
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1477198091
9930 KINCEY AVE STE 200
Huntersville, NC 28078
(704) 887-4530
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1528369543
9930 KINCEY AVE STE 200
Huntersville, NC 28078
(704) 887-4530
✔ PECOS✔ Accepts Medicare2.5 mi
Interventional Cardiology
NPI 1982633178
9930 KINCEY AVE STE 200
Huntersville, NC 28078
(704) 887-4530
✔ PECOS✔ Accepts Medicare2.5 mi
Certified Nurse Midwife (CNM)
NPI 1932883642
9930 KINCEY AVE STE 360
Huntersville, NC 28078
(704) 316-4830
✔ PECOS2.5 mi
Certified Nurse Midwife (CNM)
NPI 1609579960
9930 KINCEY AVE STE 360
Huntersville, NC 28078
(704) 316-4830
✔ PECOS2.5 mi
Obstetrics/Gynecology
NPI 1750888699
9930 KINCEY AVE STE 360
Huntersville, NC 28078
(704) 316-4830
✔ PECOS✔ Accepts Medicare2.5 mi
Obstetrics/Gynecology
NPI 1548240963
9930 KINCEY AVE STE 360
Huntersville, NC 28078
(704) 316-4830
✔ PECOS✔ Accepts Medicare2.5 mi
Psychiatry
NPI 1184785701
13815 PROFESSIONAL CENTER DR STE 100
Huntersville, NC 28078
(704) 384-1320
✔ PECOS✔ Accepts Medicare2.8 mi
Orthopedic Surgery
NPI 1063408300
19485 OLD JETTON RD SUITE 210
Cornelius, NC 28031
(704) 316-1830
✔ PECOS✔ Accepts Medicare3.2 mi
See all 561 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Group, Inc.'s NPI number?

The NPI number for Novant Medical Group, Inc. is 1881707487. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Southeast Children's Urology.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 16525 Holly Crest Ln Suite 230, Huntersville, NC 28078. The listed phone number is (704) 316-5140.

What is Novant Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Novant Medical Group, Inc. enrolled in Medicare?

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

When is Novant Medical Group, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novant Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 561 clinicians in 23 Medicare specialties reassign their Medicare billing to Novant Medical Group, Inc.. 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 Obstetrics/Gynecology (131), Nurse Practitioner (106) and Family Practice (87). Of these, 4 practice at this address and 97 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novant Medical Group, Inc. was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.