OrganizationActive
Novant Medical Group, Inc.
NPI 1063051340 · Pediatric Nephrology Physician · Matthews, NC
Provider details
- NPI number
- 1063051340
- Entity type
- Organization
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Enrollment Manager(704) 316-7845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1401 Matthews Township Pkwy Ste 100
Matthews, NC 28105-5403
Phone: (704) 316-5910
Fax: (704) 316-5911
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Nephrology
Registry dates
- Enumerated
- 2020-01-03
- Last updated
- 2020-01-03
- Certified
- 2020-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.