OrganizationActive
Novant Health Medical Group LLC
NPI 1083564702 · Podiatrist · Charlotte, NC
Novant Health Medical Group LLC is a Podiatrist organization in Charlotte, NC (NPI 1083564702).
Provider details
- NPI number
- 1083564702
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Leea Walton, Manager(704) 316-6081
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Phone: (704) 316-2340
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Podiatry - Elizabeth
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Novant Health Medical Group LLC's NPI number?
- Novant Health Medical Group LLC's National Provider Identifier (NPI) is 1083564702, 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 Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Novant Health Medical Group LLC located?
- Novant Health Medical Group LLC's practice location on file with NPPES is 125 Queens Rd Ste 250, Charlotte, NC 28204-3419.
- 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) 316-2340.
- 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, 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 (1083564702) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.