Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health Spine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2801 RANDOLPH RD, SUITE 100, CHARLOTTE, NC 28211-1051
(704) 367-4800
(704) 316-3025
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 367-4800
(704) 316-3025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NC
208100000X
Physical Medicine & Rehabilitation Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019H9
BCBS NC
NC
05
—
5908811
—
NC
01
—
K401
PARTNERS
NC
05
—
NPB257
—
SC
Enumeration date
04/11/2006
Last updated
06/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us