NPIMap

Organization Active NPI

Carolinas Physicians Network Inc

Doing business as Atrium Health Endoscopy Center Ballantyne

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
National Provider Identifier
1871674481
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Doing business as
Atrium Health Endoscopy Center Ballantyne
Practice address
15110 John J Delaney Dr
Suite 120
Charlotte, NC 28277
Phone
(704) 512-2140
Fax
(704) 302-8118
NPI assigned
Oct 18, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Rodney E. Ball
Title
Treasurer
Phone
(704) 403-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

15110 John J Delaney Dr
Suite 120
Charlotte, NC 28277

Mailing address

15110 John J Delaney Dr Ste 120
Charlotte, NC 28277-3545
Phone (704) 512-2140

Other names 1

  • Atrium Health Endoscopy Center Ballantyne Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000229 NC Part B Supplier - Ambulatory Surgical Center 3375449655 Receives reassigned benefits from 3 practitioners
11 other NPIs on this enrollment
Practice locations: Charlotte, NC

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Carolinas Physicians Network Inc Dba Carolinas Gastroenterology Center BallantyneCCN 34C0001137
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Physicians Network Inc135 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1871674481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 JOHN J DELANEY DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773545",
            "telephone_number": "704-512-2140",
            "fax_number": "704-302-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 JOHN J DELANEY DR",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-512-2140",
            "fax_number": "704-302-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "704-403-1451"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Endoscopy Center Ballantyne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.