OrganizationActive
Novant Medical Group, Inc.
NPI 1396366316 · Pediatric Rehabilitation Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1396366316
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Novant Medical Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone: (980) 302-8271
Fax: (980) 302-8285
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Rehabilitation
- Doing business as
- Novant Health Pediatric Rehabilitation
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.