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

Novant Medical Group, Inc

Organization Pediatric Nephrology Physician · NPI 1063051340

Novant Medical Group, Inc provides Pediatric Nephrology Physician services in Matthews, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
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

1401 Matthews Township Pkwy Ste 100
Matthews, NC 28105-5403
Phone: (704) 316-5910
Fax: (704) 316-5911
Show map & directions

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

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X

Record details

NPI number1063051340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Enrollment Manager · (704) 316-7845
Other names Novant Health Pediatric Nephrology
NPI enumeratedJanuary 3, 2020
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing addressPo Box 60447, Charlotte, NC 28260-0447