Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group LLC

Organization Podiatrist · NPI 1083564702

Novant Health Medical Group LLC provides Podiatrist services in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Phone: (704) 316-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1083564702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Manager · (704) 316-6081
Other names Novant Health Podiatry - Elizabeth
NPI enumeratedFebruary 2, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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