Novant Health Pediatric Neurology & Sleep
LBN: Novant Health Medical Group, Llc
Novant Health Pediatric Neurology & Sleep is an health care organization with primary practice located at 1900 Randolph Rd Ste 1010 , Charlotte NC 28207-1117. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 384-1390, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
1900 Randolph Rd Ste 1010
Charlotte NC 28207-1117
Phone: (704) 384-1390
Fax: (704) 384-1063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | North Carolina | |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ||
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X |
Profile Details
| NPI number | 1366409492 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Pediatric Neurology & Sleep |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 14th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366409492 | NPPES |
| South Carolina | MEDICAID | NPB151 | |
| South Carolina | Other | 017U7 | |
| South Carolina | MEDICAID | 5902989 |
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