NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY – NPI #1386164051
Pediatrics

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1386164051 to NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY on June 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC ENDOCRINOLOGY” 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 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was last updated on Jul 11, 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 ENDOCRINOLOGY below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1386164051
Enumeration Date

(about 9 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 ENDOCRINOLOGY
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 316-5285 Fax:
1 Other location(s):
330 Billingsley Rd Ste 101
Charlotte, NC 28211-5020
Phone: (704) 316-2335
Fax: (704) 316-2326
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Jul 11, 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
2080P0205X
- Pediatrics / Pediatric Endocrinology (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.