QUEEN CITY EAR NOSE AND THROAT PLLC
NPI 1174183156
Otolaryngology in Charlotte, NC
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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)
Queen City Ear Nose And Throat Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Queen City Ear Nose And Throat PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Queen City Ear Nose And Throat PLLC enrolled in Medicare?
Yes. Queen City Ear Nose And Throat PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Queen City Ear Nose And Throat PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Queen City Ear Nose And Throat 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 Otolaryngology (3) and Qualified Audiologist (3). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Cigna Healthcare 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.
# Queen City Ear Nose And Throat Pllc · NPI 1174183156
Otolaryngology organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since June 20, 2019.
## Identity
- **NPI:** 1174183156 (Entity type: Organization)
- **Enumerated:** June 20, 2019
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Daron Smith, PHYSICIAN
## Practice location
- **Address:** 8924 BLAKENEY PROFESSIONAL DR, Charlotte, NC 28277-6660
- **Phone:** (704) 996-5353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (3), Qualified Audiologist (3); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2022
- **Other identifiers:** Other 1174183156 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174183156) · Data from the CMS NPPES public registry.