NOVANT HEALTH PEDIATRIC PULMONOLOGY – NPI #1417477977
Pediatrics

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Health Care Provider Taxonomy Code for Pediatrics

NOVANT HEALTH PEDIATRIC PULMONOLOGY is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1417477977 to NOVANT HEALTH PEDIATRIC PULMONOLOGY on June 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC PULMONOLOGY” 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 2080P0214X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Pulmonology

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 PULMONOLOGY below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1417477977
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 PULMONOLOGY
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 316-5280 Fax: (704) 316-5282
1 Other location(s):
1918 Randolph Rd Ste 700
Charlotte, NC 28207-1167
Phone: (704) 384-1056
Fax: (704) 384-1046
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (704) 316-5280 Fax: (704) 316-5282
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.

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
2080P0214X
- Pediatrics / Pediatric Pulmonology (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.