NOVANT HEALTH PEDIATRIC GENETICS – NPI #1164137766
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NOVANT HEALTH PEDIATRIC GENETICS is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1164137766 to NOVANT HEALTH PEDIATRIC GENETICS on January 18, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC GENETICS” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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 PEDIATRIC GENETICS below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1164137766
Enumeration Date

(more than 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 PEDIATRIC GENETICS
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 384-7680 Fax:
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (704) 384-7680 Fax:
Organization Subpart
No
Authorized Official
SHALA DAVIS
ENROLLMENT 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
208000000X
- Pediatrics (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.