Novant Health Ballantyne Medical Center LLC

A Medicare group practice based in Charlotte, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4880065143), with 420 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880065143The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20230124001675 NC Part A Provider - Hospital 1740998020
O20230518003163 NC Part B Supplier - Clinic/Group Practice 1760190607

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 420

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (420) or whom Care Compare lists as members (21).

Sources for this page