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QUEEN CITY EAR NOSE AND THROAT PLLC
NPI 1174183156
Otolaryngology in Charlotte, NC

Active since June 20, 2019CLIA 34D2198650 · Waiver
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277(704) 996-5353 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Aug 14, 2019, Jun 20, 2019 (3 updates tracked since 2019).

About Queen City Ear Nose And Throat Pllc NPPES

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

QUEEN CITY EAR NOSE AND THROAT PLLC (NPI 1174183156) is a healthcare organization registered as an otolaryngology in Charlotte, North Carolina and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 2, 2026, maintains a secondary practice location in Monroe, and lists Daron James Smith, Physician, as its authorized official.

NPPES Registry Identity

NPI1174183156
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameQUEEN CITY EAR NOSE AND THROAT PLLC
Location Address8924 BLAKENEY PROFESSIONAL DRCharlotte, NC 28277-6660
Mailing Address8924 Blakeney Professional DrCharlotte, NC 28277-6660 · (704) 703-1080
Phone(704) 996-5353
Organization SubpartNo
Authorized OfficialDaron James SmithPhysician · (704) 703-1080
Enumeration DateJune 20, 2019
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1174183156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
8924 BLAKENEY PROFESSIONAL DR, Charlotte, NC 28277
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Secondary Practice Location 1

Location 11994 Wellness Blvd Ste 210Monroe, NC 28110-7768 · Phone (704) 996-5353

Other Identifiers 1

Other1174183156NC · National Provider Identifier

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2198650

Queen City Ear Nose And Throat PLLC · Charlotte, NC
Active · expires Nov 2, 2026
CLIA Number34D2198650
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDawn Koncsol
Laboratory Phone(704) 703-1080
Laboratory LocationQueen City Ear Nose And Throat PLLC8924 Blakeney Professional Drive, Charlotte, NC 28277
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

SHANNON LYNN MACDONALD AUD
Audiologist
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080
RICHARD RAMAS GILLESPIE MD
Otolaryngology
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080
DR. DARON JAMES SMITH MD
Otolaryngology
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080
FORSYTH MEDICAL GROUP LLC
Otolaryngology
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080
DR. NICHOLAS DANIEL LUKACS D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080
DR. DAWN A HULTHEN-KONCSOL AUD
Audiologist
8924 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 703-1080

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 Queen City Ear Nose And Throat PLLC's NPI number?

The NPI number for Queen City Ear Nose And Throat PLLC is 1174183156. It was assigned to this organization in the NPPES registry on June 20, 2019.

Where is Queen City Ear Nose And Throat PLLC located?

Queen City Ear Nose And Throat PLLC is located at 8924 Blakeney Professional Dr, Charlotte, NC 28277. The listed phone number is (704) 996-5353.

What is Queen City Ear Nose And Throat PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Queen City Ear Nose And Throat PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2198650) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Queen City Ear Nose And Throat PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Queen City Ear Nose And Throat 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 Queen City Ear Nose And Throat PLLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.