NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS – NPI #1104162932
Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Health Care Provider Taxonomy Code for Pediatrics

NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1104162932 to NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS on December 26, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS” is a dba name, the actual legal business name for this organization is NOVANT MEDICAL GROUP, INC. The primary taxonomy selected by this provider is 2080P0006X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Developmental - Behavioral Pediatrics

The NPI profile was previously updated about 8 years ago on Sep 04, 2018. 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 DEVELOPMENTAL & BEHAVIORAL PEDIATRICS below.

NPI Profile for
NOVANT MEDICAL GROUP, INC

NPI Number
1104162932
Enumeration Date

(more than 13 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 MEDICAL GROUP, INC
Doing Business As (dba): NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS
Primary location
6331 CARMEL RD STE 102
CHARLOTTE, NC 28226
Phone: (704) 384-0567 Fax: (704) 384-0568
1 Other location(s):
3135 Springbank Ln
Suite 100
Charlotte, NC 28226-3360
Phone: (704) 316-4445
Fax: (704) 316-4446
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (704) 384-0567 Fax: (704) 384-0568
Organization Subpart
No
Authorized Official
GEOFFREY GARDNER
VP OF FINANCE
Phone: (704) 316-1155
Updated
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
2080P0006X
- Pediatrics / Developmental - Behavioral 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.