Dermatology
NOVANT MEDICAL GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1952933301 · enumerated 2020-02-04 · record updated 2020-02-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SHALA DAVIS, Enrollment Manager · (704) 316-7845
Other names: NOVANT HEALTH NORTHLAKE DERMATOLOGY
Addresses and phones
- Mailing address PO BOX 60447, CHARLOTTE, NC, 28260-0447 (704) 316-5070 Fax (704) 316-5075 Google Maps Apple Maps OpenStreetMap
- Practice location 6324 FAIRVIEW RD # 200, CHARLOTTE, NC, 28210-3271 (704) 316-5070 Fax (704) 316-5075 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
CHARLOTTE, NC, 282103271
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.