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

Novant Health Medical Group, LLC

Organization Pediatric Adolescent Medicine Physician · NPI 1386019891

Novant Health Medical Group, LLC provides Pediatric Adolescent Medicine Physician services in Waxhaw, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3614 Providence Rd S Ste 101
Waxhaw, NC 28173-6309
Phone: (704) 384-8460
Fax: (704) 384-8465
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1386019891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Child And Adolescent Medical Group; Novant Health Child And Adolescent Medical Group
NPI enumeratedDecember 9, 2015
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447