NOVANT HEALTH HEART AND VASCULAR INSTITUTE – NPI #1700570090
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

NOVANT HEALTH HEART AND VASCULAR INSTITUTE is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1700570090 to NOVANT HEALTH HEART AND VASCULAR INSTITUTE on June 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH HEART AND VASCULAR INSTITUTE” is a dba name, the actual legal business name for this organization is NOVANT HEALTH MEDICAL GROUP, LLC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jun 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVANT HEALTH HEART AND VASCULAR INSTITUTE below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1700570090
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Doing Business As (dba): NOVANT HEALTH HEART AND VASCULAR INSTITUTE
Primary location
15830 BALLANTYNE MEDICAL PL STE 275
CHARLOTTE, NC 28277-4791
Phone: (980) 302-8659 Fax: (980) 302-8674
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (980) 302-8659 Fax: (980) 302-8674
Organization Subpart
No
Authorized Official
SHALA DAVIS
ASSISTANT DIRECTOR
Phone: (704) 303-7517
Updated
Certification Date
Jun 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.