Ballantyne Medical Associates PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

BALLANTYNE MEDICAL ASSOCIATES PLLC

Practice address

12311 Copper Way
Suite 100
Charlotte, NC 28277-3642

Phone

(704) 540-1640

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

BALLANTYNE MEDICAL ASSOCIATES PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlos Jorge, M.D.

Title

Owner

Phone

(704) 540-1640

Specialties & licenses 1

Addresses

Part of

Ballantyne Med Assoc Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ballantyne Medical Associates PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1184776130
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1114290632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 COPPER WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773642",
            "telephone_number": "704-540-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLANTYNE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALLANTYNE MEDICAL ASSOCIATES PLLC",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-540-1640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballantyne Chiropractic
• Ballantyne Chiropractic Wellness
• Ballantyne Emergency Physicians PLLC
• Ballantyne Emergency Physicians PLLC
• Ballantyne Family Medicine PC
• Ballantyne Medical Associates PLLC
• Ballantyne Pharmacy LLC
• Ballantyne Sleep Diagnostics
• Elizabeth Ballantyne
• Ayanna Ballard

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.