OrganizationActive
Novant Medical Group, Inc.
NPI 1770979353 · Pediatric Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1770979353
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13557 Steelecroft Pkwy
Suite 2200
Charlotte, NC 28278-0057
Phone: (704) 316-5160
Fax: (704) 316-5069
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Gastroenterology
- Doing business as
- Novant Health Pediatric Gastroenterology
Registry dates
- Enumerated
- 2015-04-10
- 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.