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

Novant Health Medical Group LLC

Organization Vascular Surgery Physician · NPI 1275480790

Novant Health Medical Group LLC provides Vascular Surgery Physician 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) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1275480790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Manager · (336) 515-7085
Other names Novant Health Heart & Vascular - Elizabeth (Vascular Surgery)
NPI enumeratedMarch 13, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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