NOVANT MEDICAL GROUP, INC.
NPI 1952933301
Dermatology in Charlotte, NC

Active since February 04, 2020
6324 FAIRVIEW RD # 200, CHARLOTTE, NC 28210(704) 316-5070(704) 316-5075 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Novant Medical Group, Inc. NPPES

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

NOVANT MEDICAL GROUP, INC. (NPI 1952933301), doing business as Novant Health Northlake Dermatology, is a healthcare organization registered as a dermatology in Charlotte, North Carolina and active in the NPI registry since February 2020. The organization lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1952933301
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVANT MEDICAL GROUP, INC.
Location Address6324 FAIRVIEW RD # 200Charlotte, NC 28210-3271
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-5070 · Fax (704) 316-5075
Fax(704) 316-5075
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Manager · (704) 316-7845
Enumeration DateFebruary 4, 2020
✔ NPI 1952933301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6324 FAIRVIEW RD # 200, Charlotte, NC 28210

Other Names 1

Doing Business AsNovant Health Northlake Dermatology

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Medical Group, Inc. 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 Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 46 practice at this address and 956 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
Nurse Practitioner
NPI 1174412902
6324 FAIRVIEW RD STE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1063618312
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(704) 316-6565
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1538131818
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(980) 302-8680
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1558922641
6324 FAIRVIEW RD STE 310
Charlotte, NC 28210
(704) 316-6565
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1104320563
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1477136711
6324 FAIRVIEW RD STE 400
Charlotte, NC 28210
(406) 281-1173
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205898764
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1588044911
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOSSame address
Pediatric Medicine
NPI 1881689651
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Family Practice
NPI 1245735315
6324 FAIRVIEW RD STE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1710322367
6324 FAIRVIEW RD SUITE 350
Charlotte, NC 28210
(704) 384-8600
✔ PECOSSame address
Neurology
NPI 1831732809
6324 FAIRVIEW RD STE 400
Charlotte, NC 28210
(980) 302-6400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1376676601
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255945085
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1215228655
6324 FAIRVIEW RD STE 330
Charlotte, NC 28210
(704) 316-1950
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1083237598
6324 FAIRVIEW RD STE 460
Charlotte, NC 28210
(980) 302-8611
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922202225
6324 FAIRVIEW RD SUITE 201
Charlotte, NC 28210
(704) 384-0588
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1467471771
6324 FAIRVIEW RD STE 430
Charlotte, NC 28210
(704) 316-3148
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1245548999
6324 FAIRVIEW RD STE 202
Charlotte, NC 28210
(980) 302-9740
✔ Accepts MedicareSame address
Urology
NPI 1750380549
6324 FAIRVIEW RD STE 420
Charlotte, NC 28210
(704) 316-1120
✔ PECOS✔ Accepts MedicareSame 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.

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 1952933301. It was assigned to this organization in the NPPES registry on February 4, 2020. The provider is doing business as Novant Health Northlake Dermatology.

Where is Novant Medical Group, Inc. located?

Novant Medical Group, Inc. is located at 6324 Fairview Rd # 200, Charlotte, NC 28210. The listed phone number is (704) 316-5070.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Novant Medical Group, Inc. enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 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 Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 46 practice at this address and 956 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 February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.