OrganizationActive
Novant Health Medical Group, LLC
NPI 1386019891 · Pediatric Adolescent Medicine Physician · Waxhaw, NC
Provider details
- NPI number
- 1386019891
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3614 Providence Rd S
Suite 101
Waxhaw, NC 28173-6309
Phone: (704) 384-8460
Fax: (704) 384-8465
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Child and Adolescent Medical Group
- Doing business as
- Novant Health Child and Adolescent Medical Group
Registry dates
- Enumerated
- 2015-12-09
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.