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

Novant Health Medical Group, LLC

Organization Pediatrics Physician · NPI 1235798992

Novant Health Medical Group, LLC provides Pediatrics Physician services in Supply, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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

20 Medical Campus Dr NW Ste 205
Supply, NC 28462-4094
Phone: (704) 384-0517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1235798992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatrics Brunswick; Novant Health Pediatrics Brunswick
NPI enumeratedJune 6, 2019
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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