OrganizationActive
Novant Health Medical Group, LLC
NPI 1083015028 · Pediatric Cardiology Physician · Charlotte, NC
Provider details
- NPI number
- 1083015028
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Practice location
11840 Southmore Dr Ste 201
Charlotte, NC 28277-0785
Phone: (704) 316-1220
Fax: (704) 316-1230
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Cardiology
- Doing business as
- Novant Health Pediatric Cardiology
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.