Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novant Medical Group Inc

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1033675079

Novant Medical Group Inc provides Neurology with Special Qualifications in Child Neurology Physician services in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Randolph Rd Ste 320
Charlotte, NC 28207-1109
Phone: (704) 384-1390
Fax: (704) 384-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X

Record details

NPI number1033675079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Novant Health Pediatric Neurology; Novant Health Pediatric Neurology
NPI enumeratedFebruary 14, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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