NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY CRNA
NPI 1154857662
Nurse Anesthetist, Certified Registered in Charlotte, NC

Q: What is Presbyterian Sameday Surgery Center At Ballantyne LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since May 03, 2017CLIA 34D1066796 · Waiver

14215 BALLANTYNE CORPORATE PL STE 210, CHARLOTTE, NC 28277(704) 316-2650(704) 316-2653 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2019, Oct 4, 2018, May 24, 2018 (3 updates tracked since 2018).

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About Novant Health Ballantyne Outpatient Surgery Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY CRNA (NPI 1154857662) is a healthcare organization registered as a nurse anesthetist, certified registered in Charlotte, North Carolina and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Fred M Hargett, Evp Cfo, as its authorized official.

NPPES Registry Identity

NPI1154857662

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC

Location Address14215 BALLANTYNE CORPORATE PL STE 210Charlotte, NC 28277-3873

Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614 · (336) 277-7226 · Fax (336) 277-9795

Phone(704) 316-2650

Fax(704) 316-2653

Organization SubpartNo

Authorized OfficialFred M HargettEvp Cfo · (704) 384-5184

Enumeration DateMay 3, 2017

Last NPPES UpdateDecember 18, 20193 updates tracked since enumeration

✔ NPI 1154857662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

14215 BALLANTYNE CORPORATE PL STE 210, Charlotte, NC 28277

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Other Names 1

Doing Business AsNovant Health Ballantyne Outpatient Surgery Crna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Ballantyne Outpatient Surgery Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

543

Medicare enrollment records show 543 clinicians reassign Medicare billing to Novant Health Ballantyne Outpatient Surgery Crna, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.