NOVANT HEALTH PEDIATRIC PULMONOLOGY
NPI 1225531445
Pediatrics - Pediatric Pulmonology in Matthews, NC
NPI Status: Active since March 14, 2018
Contact Information
1401 MATTHEWS TOWNSHIP PKWY STE 100
MATTHEWS, NC
ZIP 28105
Phone: (704) 316-5280
Fax: (704) 316-5282
- Organization
- Pediatrics
- Pediatric Pulmonology
- Accepts Insurance
- CLIA Number: 34D2211383
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2025
About NOVANT HEALTH PEDIATRIC PULMONOLOGY
This page provides the complete NPI Profile along with additional information for Novant Health Pediatric Pulmonology, a pediatrician established in Matthews, North Carolina operating as a Pediatrics, focusing in pediatric pulmonology . The healthcare provider is registered in the NPI registry with number 1225531445 assigned on March 2018. The practitioner's primary taxonomy code is 2080P0214X. The provider is registered as an organization and their NPI record was last updated one year ago. Novant Health Pediatric Pulmonology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Pediatric Pulmonology. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)
- NPI
- 1225531445
- Provider Legal Name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Other Organization Name
- NOVANT HEALTH PEDIATRIC PULMONOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105
- Location Phone
- (704) 316-5280
- Location Fax
- (704) 316-5282
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 316-5280
- Mailing Fax
- (704) 316-5282
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2018
- Last Update Date
- 06-14-2024
- Code Navigator
A pediatrician like Novant Health Pediatric Pulmonology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Pulmonology
- Taxonomy Code
- 2080P0214X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2211383
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2023
- Certificate Expiration Date
- January 26, 2025
- Laboratory Director
- MARC CHESTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Pediatric Pulmonology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NOVANT HEALTH PEDIATRIC PULMONOLOGY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 5 | 3 | 1 | 4 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 10 | 3 | 2 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 0 + 3 + 2 + 4 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1225531445 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063051340 | NOVANT MEDICAL GROUP, INC. Organization | Pediatrics (Pediatric Nephrology) | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 316-5910 |
| 1003235292 | DR. SCOTT WARREN THOMAS M.D. Individual | Pediatrics | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 284-1080 |
| 1144631912 | DR. MEREDITH CALCINA DAVITTE MD Individual | Pediatrics | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 384-1080 |
| 1275281214 | MRS. LITA BAGGARLY MORRISON Individual | Lactation Consultant, Non-RN | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 384-1080 |
| 1467013250 | EMMA REBECCA SEGAL MD Individual | Pediatrics | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 384-1080 |
| 1194288308 | DR. MARNI KREHNBRINK HARVEY M.D. Individual | Pediatrics | 1401 MATTHEWS TOWNSHIP PKWY STE 100 MATTHEWS, NC 28105 (704) 384-1080 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225531445, enumerated in the NPI registry as an "organization" on March 14, 2018
The provider is located at 1401 Matthews Township Pkwy Ste 100 Matthews, Nc 28105 and the phone number is (704) 316-5280
This medical organization specializes in Pediatrics with taxonomy code 2080P0214X with a focus in Pediatric Pulmonology
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2211383 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 14, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.