Novant Medical Group Inc
NPI 1104479708ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Concord, NC
Pediatrics, Developmental - Behavioral Pediatrics in Concord, North Carolina, registered in NPPES in July 2019. The authorized official on file is Shala Davis, Managed Care Enrollment Manager.
Overview
| NPI | 1104479708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2019 |
| Last updated in NPPES | Jul 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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