Novant Health Medical Group, LLC

Organization Active NPI Psychiatry Physician · Huntersville, NC

NPI 1407306194 · NPPES record last updated Jun 20, 2024

Key facts

NPI
1407306194
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
NOVANT HEALTH MEDICAL GROUP, LLC
Practice address
13815 Professional Center Dr
Suite 100 and 200
Huntersville, NC 28078-7951
Phone
(704) 384-1246
NPI assigned
Oct 6, 2016
Organization subpart
No

Authorized official

Name
Leea Jeanine Walton
Title
RCS Manager
Phone
(704) 316-6081

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031121000692 NC Part B Supplier - Clinic/Group Practice 1153234893 Receives reassigned benefits from 3,607 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

13815 Professional Center Dr
Suite 100 and 200
Huntersville, NC 28078-7951

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1246

Other names

  • Novant Health Psychiatric Associates Doing business as

Other providers in Huntersville, NC

All providers in Huntersville, NC · Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.