NOVANT HEALTH MEDICAL GROUP, LLC – NPI #1063210110
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

NOVANT HEALTH MEDICAL GROUP, LLC is a thoracic surgeon located in MATTHEWS, NC. NPPES has assigned the NPI number 1063210110 to NOVANT HEALTH MEDICAL GROUP, LLC on March 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

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 MEDICAL GROUP, LLC below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP, LLC

NPI Number
1063210110
Enumeration Date

(more than a year 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
Primary location
1450 MATTHEWS TOWNSHIP PKWY STE 380
MATTHEWS, NC 28105-2389
Phone: (980) 302-6700 Fax: (980) 302-6705
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
MANAGER
Phone: (704) 316-6081
Updated
Certification Date
Mar 05, 2025

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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (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.