NOVANT HEALTH PEDIATRIC CARDIOLOGY – NPI #1265488407
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

NOVANT HEALTH PEDIATRIC CARDIOLOGY is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1265488407 to NOVANT HEALTH PEDIATRIC CARDIOLOGY on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC CARDIOLOGY” 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 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was last updated on Jun 14, 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 CARDIOLOGY below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1265488407
Enumeration Date

(more than 20 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 CARDIOLOGY
Primary location
1918 RANDOLPH RD STE 700
CHARLOTTE, NC 28207-1167
Phone: (704) 316-1220 Fax: (704) 316-1230
1 Other location(s):
1718 E 4th St
Suite 605
Charlotte, NC 28204-3282
Phone: (704) 316-1220
Fax: (704) 316-1230
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (704) 316-1220 Fax: (704) 316-1230
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Jun 14, 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.

Identifiers

Identifiers for NOVANT HEALTH PEDIATRIC CARDIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSNC016XK
medicaidNC5900388
medicaidSCNPB105
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
2080P0202X
- Pediatrics / Pediatric Cardiology (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.