NPIMap

Organization Active NPI

Novant Health Ballantyne Medical Center LLC

Doing business as Novant Health Ballantyne Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
National Provider Identifier
1740998020
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
Doing business as
Novant Health Ballantyne Medical Center
Practice address
10905 Providence Rd W
Charlotte, NC 28277
Phone
(980) 488-4000
Fax
(980) 488-4800
NPI assigned
Nov 7, 2022
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Joy Greear
Title
Facility President
Phone
(336) 277-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

10905 Providence Rd W
Charlotte, NC 28277

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-8757

Other names 1

  • NOVANT HEALTH BALLANTYNE MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124001675 NC Part A Provider - Hospital 4880065143 Practice locations: Charlotte, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740998020. Details of each certification follow.

Hospital certification: CCN 340195

Legal name
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
Doing business as
NOVANT HEALTH BALLANTYNE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 11, 2023
Last certification
Aug 11, 2023
Beds
36
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 9, 2018 in NC
Enrollment address
10905 Providence Rd W
Charlotte, NC 28277
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Novant Health Ballantyne Medical CenterCCN 340195 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Ballantyne Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vinay Patel Individual Corporate Director Jan 1, 2025
James C Johnson Individual Corporate DirectorBot Member Jan 1, 2020
Kandi Deitemeyer Individual Corporate DirectorBot Member Jan 1, 2021
Justin Rutledge Individual Corporate DirectorBot Member Jan 1, 2025
Carl S Armato Individual Corporate DirectorBot Member Jan 1, 2022
Kimberly a Case Individual Corporate DirectorBot Member May 1, 2021
Thaddeus Vontrell Jones Individual Corporate DirectorBot Member Jan 1, 2021
John Morgan Lewis Individual Corporate DirectorBot Member Jan 1, 2021
James Patrick Taylor Individual Corporate DirectorBot Member Jan 1, 2022
Patrick a Wilson Individual Corporate DirectorBot Member May 1, 2023
Marsha Janelle Lyons Individual Corporate DirectorBot Member Jan 1, 2021
Louis G Lobo Individual Corporate DirectorB Jan 1, 2020
Novant Health, Inc. Organization, Winston Salem, NC Corporation, LLC, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 100%
Allison Joy Greear Individual Corporate OfficerPres & Coo Feb 14, 2024
W-2 Managing EmployeePres & Coo Feb 14, 2024
Saad Ehtisham Individual Corporate DirectorBot President Jan 1, 2022
Tera Black Individual Corporate DirectorBot Member Jan 1, 2025
Molly Grantham Individual Corporate Director Jan 1, 2025
Novant Health Southern Piedmont Region, LLC Organization, Winston Salem, NC Corporation, Non-profit Operational/Managerial Control Jun 1, 2023 100%
David Longo Individual Corporate DirectorBot Member Jan 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 453

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 453

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1740998020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD FL 3",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-8757",
            "fax_number": "336-718-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 PROVIDENCE RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "980-488-4000",
            "fax_number": "980-488-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "GREEAR",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "FACILITY PRESIDENT",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVANT HEALTH BALLANTYNE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.