Novant Health Medical Group, LLC
NPI 1003966185 · Pediatric Gastroenterology Physician · Charlotte, NC
Novant Health Medical Group, LLC is a Pediatric Gastroenterology Physician organization in Charlotte, NC (NPI 1003966185).
Provider details
- NPI number
- 1003966185
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Edi Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Gastroenterology
- Doing business as
- Novant Health Pediatric Gastroenterology
Additional practice locations (2)
- 2711 Randolph RdSuite 301Charlotte, NC 28207-2027Phone: (704) 316-5060Fax: (704) 316-5069
- 1401 Matthews Township Pkwy Ste 100Matthews, NC 28105-5403Phone: (704) 316-5060Fax: (704) 316-5069
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Novant Health Medical Group, LLC's NPI number?
- Novant Health Medical Group, LLC's National Provider Identifier (NPI) is 1003966185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Novant Health Medical Group, LLC?
- Novant Health Medical Group, LLC is classified in the NPPES registry as Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Novant Health Medical Group, LLC located?
- Novant Health Medical Group, LLC's practice location on file with NPPES is 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109.
- What is Novant Health Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Novant Health Medical Group, LLC is (704) 316-5060.
- Who is the authorized official for Novant Health Medical Group, LLC?
- The authorized official listed on Novant Health Medical Group, LLC's NPPES record is Leea Walton, Edi Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Novant Health Medical Group, LLC's NPI active?
- Yes — Novant Health Medical Group, LLC's NPI (1003966185) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.