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

Novant Medical Group, Inc

Organization Pediatrics Physician · NPI 1093376642

Novant Medical Group, Inc provides Pediatrics 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

201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 316-5820
Fax: (704) 316-5821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1093376642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 316-7845
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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