ENDOSCOPY CENTER -PINEVILLE LLC NPI 1205908456

NPI Information

  • NPI: 1205908456
  • Provider Name: ENDOSCOPY CENTER -PINEVILLE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CAROLINA ENDOSCOPY CENTER -PINEVILLE
  • CLIA Number: 34D1057421
  • Address: 10520 PARK RD
    SUITE 105
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 927-5756

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NPI Details

ENDOSCOPY CENTER -PINEVILLE LLC is an ambulatory surgical clinic center in Charlotte, NC. ENDOSCOPY CENTER -PINEVILLE LLC NPI is 1205908456. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Endoscopy Center -pineville.

The provider's business location address is:

10520 PARK RD
SUITE 105
CHARLOTTE, NC
ZIP 28210-487
Phone: (704) 927-5756
Fax: (704) 927-5757

The provider's authorized official is Julie Rothrock .
The authorized official title is Credentialing Coordinator and has the following contact phone number (704) 372-7974.

The CLIA number assigned to this NPI record is 34D1057421 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 11/14/2006 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12381097AOTHERNORTH CAROLINAMEDICARE, OTHER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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