BALLANTYNE EMERGENCY PHYSICIANS PLLC
NPI 1164052726
Emergency Medicine in Charlotte, NC
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ballantyne Emergency Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
99Medicare enrollment records show 99 clinicians reassign Medicare billing to Ballantyne Emergency Physicians PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 99Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Ballantyne Emergency Physicians PLLC enrolled in Medicare?
Yes. Ballantyne Emergency Physicians PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ballantyne Emergency Physicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 3 Medicare specialties reassign their Medicare billing to Ballantyne Emergency Physicians PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (87), Nurse Practitioner (10) and Family Practice (2). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ballantyne Emergency Physicians PLLC accept?
Health plans from Cigna Healthcare list Ballantyne Emergency Physicians PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Ballantyne Emergency Physicians Pllc · NPI 1164052726
Emergency Medicine organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since January 23, 2020.
## Identity
- **NPI:** 1164052726 (Entity type: Organization)
- **Enumerated:** January 23, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 11516 PROVIDENCE RD, Charlotte, NC 28277-2691
- **Phone:** (704) 667-0370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 99 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (87), Nurse Practitioner (10), Family Practice (2); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1164052726/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164052726) · Data from the CMS NPPES public registry.