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

Novant Medical Group, Inc

Organization Pediatrics Physician · NPI 1487739058

Novant Medical Group, Inc 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Randolph Rd Ste 700
Charlotte, NC 28207-1100
Phone: (704) 384-1056
Fax: (704) 384-1046
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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 number1487739058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Of Finance · (704) 384-1056
Other names Novant Health Walker Pediatrics
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 6, 2017
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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