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Novant Health Medical Group, LLC

Pediatric Gastroenterology Physician in Charlotte, NC · enumerated 2007 · authorized official Leea Walton, Edi Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003966185

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Registry record

Entity type Organization (Type 2)
Legal business name Novant Health Medical Group, LLC
Other name <Unavail>
Practice address 1918 Randolph Rd Ste 210, Charlotte, NC, 28207
Fax (704) 316-5069
Enumeration date Jan 11, 2007
Last updated in NPPES Jul 31, 2025

Taxonomy & classification

2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Leea Walton
Title Edi Manager

Other identifiers

Identifier Type State Issuer
5905866 Medicaid NC -
018WH Other NC BCBS NC
NPB219 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-31. Verify at npiregistry.cms.hhs.gov.
Where is Novant Health Medical Group, LLC located?
The practice location on file with NPPES is in Charlotte, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-31.