Novant Medical Group, Inc

Pediatric Cardiology

Novant Medical Group, Inc is a Charlotte, North Carolina based Pediatric center with medical specialization in Pediatric Cardiology. Novant Medical Group, Inc is doing business as Novant Health Pediatric Cardiology. It is located at 11840 Southmore Dr, Suite 201, Charlotte, North Carolina - 28277-4466. They can be contacted on phone at 704-316-1220 and fax number 704-316-1230.
NPI number (Unique professional ID) for Novant Medical Group, Inc is 1083015028 which was assigned by NPPES on 09 Sep, 2014 and it was last updated on 16 Aug, 2021.
Novant Medical Group, Inc provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Novant Medical Group, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Cardiology
Provider Name :Novant Medical Group, Inc
Other Name :Novant Health Pediatric Cardiology
Business Address:
Novant Medical Group, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :11840 Southmore Dr, Suite 201
Charlotte, NC, 28277-4466
United States
Phone Number :704-316-1220
Fax Number :704-316-1230
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1083015028
NPI Entity Type : Organization
First Enrolment Date : 09 Sep, 2014
Last Updated On : 16 Aug, 2021
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Shala Davis
Official Title or Position :RCS MANAGER
Phone Number :704-303-7517
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Novant Medical Group, Inc are as mentioned. Primary taxonomy code for Novant Medical Group, Inc is 2080P0202X (Pediatrics Pediatric Cardiology).
Taxonomy Code SpecialityPrimaryLicense No.State
207RC0000XInternal Medicine Cardiovascular DiseaseNo
2080P0202XPediatrics Pediatric CardiologyYes
Legacy Identifiers:
Other legacy medical identifiers of Novant Medical Group, Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1083015028MEDICAIDNC
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 60447
Charlotte, NC, 28260-0447
United States
Phone Number :704-316-1220
Fax Number :704-316-1230
Business Location:
Patients can refer following map for directions to Novant Medical Group, Inc practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.