PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC NPI 1215061049

NPI Information

  • NPI: 1215061049
  • Provider Name: PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY
  • CLIA Number: 34D1066796
  • Address: 14215 BALLANTYNE CORPORATE PL STE 210
    CHARLOTTE, NC
    ZIP 28277
  • Phone: (704) 316-2650

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NPI Details

PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC is an ambulatory surgical clinic center in Charlotte, NC. PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC NPI is 1215061049. The provider is registered as an organization entity type.
The provider Is Doing Business As Novant Health Ballantyne Outpatient Surgery.

The provider's business location address is:

14215 BALLANTYNE CORPORATE PL STE 210
CHARLOTTE, NC
ZIP 28277-873
Phone: (704) 316-2650
Fax: (704) 316-2653

The provider's authorized official is Fred M. Hargett .
The authorized official title is Evp Cfo and has the following contact phone number (704) 384-5184.

The CLIA number assigned to this NPI record is 34D1066796 - ambulatory surgery center 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.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)

The enumeration date for this NPI number is 3/15/2007 and was last updated on 10/4/2018.

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

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: 3/30/2025

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