OrganizationActive
Novant Health Medical Group, LLC
NPI 1417477977 · Pediatric Pulmonology Physician · Charlotte, NC
Provider details
- NPI number
- 1417477977
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leea Walton, Rcs Manager(704) 316-6081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 316-5280
Fax: (704) 316-5282
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Pulmonology
- Doing business as
- Novant Health Pediatric Pulmonology
Additional practice locations (1)
- 1918 Randolph Rd Ste 700Charlotte, NC 28207-1167Phone: (704) 384-1056Fax: (704) 384-1046
Registry dates
- Enumerated
- 2017-06-26
- 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.