Charles Ellis Balentine

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

License

44D2125377 Issued in TN

Practice address

315 Deaderick St Ste 1550
Nashville, TN 37238-3003

Phone

(615) 521-4380

Fax

(615) 521-4380

NPI assigned

Nov 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Biolabs LLC

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1497269120
  NPD (past) Authorized official

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1164936878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGGINSON PL N",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666086",
            "telephone_number": "615-521-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1550",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383003",
            "telephone_number": "615-521-4380",
            "fax_number": "615-521-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENTINE",
        "first_name": "CHARLES",
        "middle_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "TN",
            "license": "44D2125377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE/LAB (CMS)",
            "identifier": "44D2125377",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Daniel Baldwin, MD
• Marie Baldwin, MSSW
• Meagan Rogers Baldwin, MA, CCC-SLP
• Sara Hancock Baldwin, LPC-MHSP
• Claudia Arlene Bale, MD
• Brian Donald Bales, M.D.
• Olivia Balkon, ED.S.
• Barbara Ball, APRN
• Jessica Rene Ball, RN
• Josie Shae Ball, LCSW

• Pathology Specialist/Technologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pathology Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.