Organization
NOVANT HEALTH MEDICAL GROUP, LLC
Active
Other names
Novant Health First Charlotte Physicians Elizabeth, Novant Health First Charlotte Physicians EpiCentre
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (EDI MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1942 E 7TH ST STE 200, CHARLOTTE, NC 28204-2418
(704) 384-7085
(704) 384-7089
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7085
(704) 384-7089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011JG
BCBS-NC
NC
05
—
89011JG
—
NC
01
—
CC5118
RAILROAD MEDICARE
NC
Enumeration date
05/16/2006
Last updated
07/09/2024
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