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

Novant Medical Group Inc

Organization Pediatric Gastroenterology Physician · NPI 1164705653

Novant Medical Group Inc provides Pediatric Gastroenterology Physician services in Charlotte, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

16139 Lancaster Hwy Ste 110
Charlotte, NC 28277-2033 Not confirmed with CMS for 10 years — call before visiting
Phone: (704) 316-5060
Fax: (704) 316-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1164705653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Finance Nmg · (704) 384-9094
Other names Pediatric Gastroenterology Associates (Satellite)
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 29, 2016
Mailing addressP O Box 60447, Novant Medical Group, Inc., Charlotte, NC 28275-1803

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