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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: October 25, 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
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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, Cigna Healthcare.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)

Pediatric Surgical Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pediatric Surgical Associates, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Daniel Bambini, M.D.
Pediatric Medicine
NPI 1346376423
1900 RANDOLPH RD. STE. 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts MedicareSame address
Graham Cosper, M.D.
General Surgery
NPI 1275741076
1900 RANDOLPH RD. STE. 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts MedicareSame address
Thomas Schmelzer, MD
General Surgery
NPI 1558499301
1900 RANDOLPH RD SUITE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts MedicareSame address
Robert Attorri, M.D.
Pediatric Medicine
NPI 1083749170
1900 RANDOLPH RD STE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOSSame address
Andrew Schulman, MD
Pediatric Medicine
NPI 1922182492
1900 RANDOLPH ROAD STE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts MedicareSame address

Source: 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 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.

Is Pediatric Surgical Associates, P.A. enrolled in Medicare?

Yes. Pediatric Surgical Associates, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Surgical Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pediatric Surgical Associates, P.A.. 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 Pediatric Medicine (3) and General Surgery (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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 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.