NOVANT HEALTH PEDIATRIC SPORTS MEDICINE – NPI #1639695133
Pediatrics

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

NOVANT HEALTH PEDIATRIC SPORTS MEDICINE is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1639695133 to NOVANT HEALTH PEDIATRIC SPORTS MEDICINE on August 16, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is NOVANT HEALTH MEDICAL GROUP, LLC. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2080S0010X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Sports Medicine

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 SPORTS MEDICINE below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1639695133
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 SPORTS MEDICINE
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204
Phone: (704) 316-1070 Fax:
3 Other location(s):
1918 Randolph Rd Ste 100
Charlotte, NC 28207-1107
Phone: (704) 384-7834
5370 Ridge Rd
Charlotte, NC 28269-2298
Phone: (704) 316-1020
1401 Matthews Township Pkwy Ste 100
Matthews, NC 28105-5403
Phone: (704) 316-1070
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
EDI 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
2080S0010X
- Pediatrics / Sports Medicine (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.