OrganizationActive
Novant Health Medical Group, LLC
NPI 1255825410 · Sports Medicine (Family Medicine) Physician · Charlotte, NC
Provider details
- NPI number
- 1255825410
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15033 Balloncroft Parkway
Suite 200
Charlotte, NC 28277
Phone: (704) 316-2920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Ballantyne Family and Sports Medicine
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.