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PEDIATRIC SURGICAL ASSOCIATES, P.A.
NPI 1174640163
Surgery - Pediatric Surgery in Charlotte, NC

Active since March 23, 2007
1900 RANDOLPH RD, STE 210, CHARLOTTE, NC 28207(704) 370-0223(704) 370-0799 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Surgical Associates, P.a. NPPES

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

PEDIATRIC SURGICAL ASSOCIATES, P.A. (NPI 1174640163) is a healthcare organization registered as a pediatric surgery in Charlotte, North Carolina and active in the NPI registry since March 2007. The organization lists Linda G. Boyd, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174640163
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGICAL ASSOCIATES, P.A.
Location Address1900 RANDOLPH RD, STE 210Charlotte, NC 28207-1106
Mailing Address1900 Randolph Rd, Ste. 210Charlotte, NC 28207-1106 · (704) 370-0223 · Fax (704) 370-0799
Phone(704) 370-0223
Fax(704) 370-0799
Organization SubpartNo
Authorized OfficialLinda G. BoydAdministrator · (704) 370-0223
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174640163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in NC · 73120
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1900 RANDOLPH RD, Charlotte, NC 28207
Open in Google Maps ↗

Other Identifiers 2

Medicaid890182WNC
MedicaidNPA716SC

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 ›

Other Providers at the Same Location NPPES 20

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

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Infectious Disease)
1900 RANDOLPH RD, SUITE 216
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-5416
JOHN B CLARK JR. M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
DR. SHANA DALE WALLACE MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1390
SACHIN JAMNADAS HANSALIA M.D.
Internal Medicine (Critical Care Medicine)
1900 RANDOLPH RD, SUITE 580
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-9900
JAMES E PUGH MD
Psychiatry & Neurology (Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Mecklenburg County (704) 334-7311
DONALD P. RUSH LCSW
Social Worker (Clinical)
1900 RANDOLPH RD, SUITE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
EDWIN T HOLLOWAY M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
JOHN W RINGWOOD M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424

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 Pediatric Surgical Associates, P.A.'s NPI number?

The NPI number for Pediatric Surgical Associates, P.A. is 1174640163. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Pediatric Surgical Associates, P.A. located?

Pediatric Surgical Associates, P.A. is located at 1900 Randolph Rd Ste 210, Charlotte, NC 28207. The listed phone number is (704) 370-0223.

What is Pediatric Surgical Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

What insurance does Pediatric Surgical Associates, P.A. accept?

Health plans from Blue Cross and Blue Shield of NC list Pediatric Surgical Associates, P.A. 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 Pediatric Surgical Associates, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.