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BALLANTYNE EMERGENCY PHYSICIANS PLLC
NPI 1164052726
Emergency Medicine in Charlotte, NC

Active since January 23, 2020
11516 PROVIDENCE RD, CHARLOTTE, NC 28277(704) 667-0370 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Jun 8, 2020, Jan 23, 2020 (3 updates tracked since 2020).

About Ballantyne Emergency Physicians Pllc NPPES

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

BALLANTYNE EMERGENCY PHYSICIANS PLLC (NPI 1164052726) is a healthcare organization registered as an emergency medicine in Charlotte, North Carolina and active in the NPI registry since January 2020. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164052726
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBALLANTYNE EMERGENCY PHYSICIANS PLLC
Location Address11516 PROVIDENCE RDCharlotte, NC 28277-2691
Mailing Address5665 New Northside Dr Ste 320Atlanta, GA 30328-5834 · (770) 874-5400
Phone(704) 667-0370
Organization SubpartNo
Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400
Enumeration DateJanuary 23, 2020
Last NPPES UpdateJune 17, 20203 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1164052726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11516 PROVIDENCE RD, Charlotte, NC 28277
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA TAYLOR HAYWORTH RPH
Pharmacist
11516 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 841-4082
IMAN ABDALLAH TAMIMI M.D.
Emergency Medicine
11516 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0370
THAO P NGUYEN PHARMD.
Pharmacist
11516 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 841-4019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ballantyne Emergency Physicians PLLC's NPI number?

The NPI number for Ballantyne Emergency Physicians PLLC is 1164052726. It was assigned to this organization in the NPPES registry on January 23, 2020.

Where is Ballantyne Emergency Physicians PLLC located?

Ballantyne Emergency Physicians PLLC is located at 11516 Providence Rd, Charlotte, NC 28277. The listed phone number is (704) 667-0370.

What is Ballantyne Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Ballantyne Emergency Physicians PLLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.