Novant Health Gilead Road Pediatrics & Internal Medicine

LBN: Novant Health Medical Group, Llc
Novant Health Gilead Road Pediatrics & Internal Medicine is an health care organization with primary practice located at 9615 Kincey Avenue Suite 100, Huntersville NC 28078-9140. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (704) 316-5635, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
9615 Kincey Avenue Suite 100 Huntersville NC 28078-9140
Phone: (704) 316-5635
Fax: (704) 316-5640
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1013969674
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Gilead Road Pediatrics & Internal Medicine
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 20th, 2024 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013969674 NPPES
North Carolina Other 017F5 BCBS-NC
North Carolina MEDICAID 5902021 BCBS-NC
North Carolina Other CC5118 BCBS-NC

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