NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY – NPI #1134765126
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1134765126 to NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY on November 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC ALLERGY & IMMUNOLOGY” 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 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

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 ALLERGY & IMMUNOLOGY below.

NPI Profile for
NOVANT MEDICAL GROUP, INC.

NPI Number
1134765126
Enumeration Date

(more than 6 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 PEDIATRIC ALLERGY & IMMUNOLOGY
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 316-9022 Fax: (704) 316-9026
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Organization Subpart
No
Authorized Official
SHALA DAVIS
ENROLLMENT MANAGER
Phone: (704) 316-7845
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
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (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.