Novant Health Pediatrics South Ballantyne
LBN: Novant Health Medical Group, Llc
Novant Health Pediatrics South Ballantyne is an health care organization with primary practice located at 16139 Lancaster Hwy Suite 110, Charlotte NC 28277-2033. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 384-1440, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
16139 Lancaster Hwy Suite 110
Charlotte NC 28277-2033
Phone: (704) 384-1440
Fax: (704) 384-1452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | North Carolina |
Profile Details
| NPI number | 1790725299 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Pediatrics South Ballantyne |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 20th, 2024 - about last year |
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 | 1790725299 | NPPES |
| North Carolina | Other | 011JF | BCBS NC |
| North Carolina | MEDICAID | NPA897 | BCBS NC |
| North Carolina | MEDICAID | 89011JF | BCBS NC |
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