Novant Medical Group, Inc.
Pediatric Gastroenterology
Novant Medical Group, Inc. is a Charlotte, North Carolina based Pediatric center with medical specialization in
Pediatric Gastroenterology. Novant Medical Group, Inc. is doing business as
Novant Health Pediatric Gastroenterology.
It is located at
2711 Randolph Rd, Suite 301, Charlotte, North Carolina - 28207-2027. They can be contacted on phone at
704-316-5060 and fax number 704-316-5069.
NPI number (Unique professional ID) for Novant Medical Group, Inc. is
1003966185 which was assigned by NPPES on 11 Jan, 2007 and it was last updated on 16 Aug, 2021.
Novant Medical Group, Inc. specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Novant Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Novant Medical Group, Inc. |
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| Other Name : | Novant Health Pediatric Gastroenterology |
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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 : | 2711 Randolph Rd, Suite 301
Charlotte, NC, 28207-2027
United States |
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| Phone Number : | 704-316-5060 |
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| Fax Number : | 704-316-5069 |
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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 : | 1003966185 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Jan, 2007 |
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| Last Updated On : | 16 Aug, 2021 |
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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 |
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| Official Title or Position : | RCS MANAGER |
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| Phone Number : | 704-303-7517 |
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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
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | NC |
Legacy Identifiers:
Other legacy medical identifiers of Novant Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 018WH | Other | NC | BCBS NC |
| NPB219 | MEDICAID | SC | |
| 5905866 | MEDICAID | NC | |
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 |
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| Phone Number : | 704-316-5060 |
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| Fax Number : | 704-316-5069 |
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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.