Novant Medical Group, Inc.
Pediatrics
Novant Medical Group, Inc. is a Charlotte, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Novant Medical Group, Inc. is doing business as
South Park Pediatrics.
It is located at
4601 Park Rd, Suite 100, Charlotte, North Carolina - 28209-3239. They can be contacted on phone at
704-522-6656 and fax number 704-522-6665.
NPI number (Unique professional ID) for Novant Medical Group, Inc. is
1003918178 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 17 Jul, 2008.
Novant Medical Group, Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Novant Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Novant Medical Group, Inc. |
|---|
| Other Name : | South Park Pediatrics |
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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 : | 4601 Park Rd, Suite 100
Charlotte, NC, 28209-3239
United States |
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| Phone Number : | 704-522-6656 |
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| Fax Number : | 704-522-6665 |
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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 : | 1003918178 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Sep, 2006 |
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| Last Updated On : | 17 Jul, 2008 |
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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 : | Dineshs. Pai |
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| Official Title or Position : | VP OF OPERATIONS |
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| Phone Number : | 704-384-9104 |
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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
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
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 |
|---|
| 018PY | Other | NC | BCBS NC |
| 5905826 | 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 : | 704-384-9679 |
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| Fax Number : | 704-316-0508 |
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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.