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 Pediatrics Physician · NPI 1467490102

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

Licensed in
NC
In the registry since
2006
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

6324 Fairview Rd Ste 350
Charlotte, NC 28210-4171
Phone: (704) 384-8600
Fax: (704) 384-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (NC)

Record details

NPI number1467490102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Pediatrics Southpark; Novant Health Pediatrics Southpark
NPI enumeratedJune 3, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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