NOVANT HEALTH PEDIATRIC NEPHROLOGY – NPI #1568027001
Pediatrics

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Health Care Provider Taxonomy Code for Pediatrics

NOVANT HEALTH PEDIATRIC NEPHROLOGY is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1568027001 to NOVANT HEALTH PEDIATRIC NEPHROLOGY on May 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC NEPHROLOGY” 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 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology

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 NEPHROLOGY below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1568027001
Enumeration Date

(more than 7 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 NEPHROLOGY
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 384-9679 Fax:
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (844) 266-8268 Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (704) 316-6081
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
2080P0210X
- Pediatrics / Pediatric Nephrology (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.