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

Novant Health Medical Group, LLC

Organization Family Medicine Physician · NPI 1336181452

Novant Health Medical Group, LLC provides Family Medicine Physician services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
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

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone: (704) 510-8000
Fax: (704) 510-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NC)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X (NC)

Record details

NPI number1336181452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health University Family Physicians; Novant Health University Family Physicians
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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