Novant Health Ballantyne Medical Center LLC
Organization Active NPI Certified Registered Nurse Anesthetist · Charlotte, NC
NPI 1760190607 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1760190607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
- Practice address
- 10905 Providence Rd W
Charlotte, NC 28277 - Phone
- (980) 488-4000
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
Authorized official
- Name
- Joy Greear
- Title
- Facility President
- Phone
- (336) 277-8757
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 422
-
Jamie Nicole Burns, CRNA
-
Lubov Anguelova Byrum, CRNA
-
Sarah Elizabeth Caamano, CRNA
-
Natalie Cordero Campbell, CRNA
-
Kristy A Cox, CRNA
-
Gregory A Duggan, CRNA
-
Jennifer Bolin Gould, CRNA
-
Ruby J. Hess, CRNA
-
Jayson S Jarvis, CRNA
-
Diana Marie Kemmerer, CRNA
-
Curtis Lee Petree, CRNA
-
Benjamin Joel Roberts, CRNA
-
Latrice Annette Turner, CRNA
-
Jennifer A Morris, CRNA
-
Tammie Ann Stahl, CRNA
-
Rita Smith Aldridge, CRNA
-
Rahel Haimanot Alemu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230518003163 | NC | Part B Supplier - Clinic/Group Practice | 4880065143 |
Receives reassigned benefits from 420 practitioners Practice locations: Charlotte, NC |
National Provider Directory
- Tax ID family
- Novant Health Ballantyne Medical Center LLC
Locations
10905 Providence Rd W
Ste 250
Charlotte, NC 28277
Phone (980) 488-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
10905 Providence Rd W
Charlotte, NC 28277
Mailing address
2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Other names
- Novant Health Ballantyne Medical Center Professional Fees
Other providers in Charlotte, NC
- Danielle Renee Novak
- Thomas Novak
- Novanest Psychiatry and Wellness PLLC
- Hudsadong Novansy
- Novant Health Ballantyne Medical Center LLC
- Novant Health Ballantyne Medical Center LLC
- Novant Health Center City Outpatient Surgery, LLC
- Novant Health Center City Outpatient Surgery, LLC
- Novant Health Employer Solutions, LLC
- Novant Health Employer Solutions, LLC
All providers in Charlotte, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.