BALLANTYNE MEDICAL ASSOCIATES PLLC
NPI 1184776130
Family Medicine in Charlotte, NC

Active since January 18, 2007
12311 COPPER WAY, SUITE 100, CHARLOTTE, NC 28277(704) 540-1640(704) 540-1639 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ballantyne Medical Associates Pllc NPPES

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

BALLANTYNE MEDICAL ASSOCIATES PLLC (NPI 1184776130) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Steven Robert Bauer, President, as its authorized official.

NPPES Registry Identity

NPI1184776130
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBALLANTYNE MEDICAL ASSOCIATES PLLC
Location Address12311 COPPER WAY, SUITE 100Charlotte, NC 28277-3386
Mailing Address12311 Copper Way, Suite 100Charlotte, NC 28277-3386 · (704) 540-1640 · Fax (704) 540-1639
Fax(704) 540-1639
Organization SubpartNo
Authorized OfficialSteven Robert BauerPresident · (704) 540-1640
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 18, 2011
✔ NPI 1184776130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2006-01723
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12311 COPPER WAY, Charlotte, NC 28277

Other Identifiers 1

Medicare PIN2329378NC

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

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 Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ballantyne Medical Associates PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1053402875
12311 COPPER WAY SUITE 100
Charlotte, NC 28277
(704) 540-1640
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457164279
15640 DON LOCHMAN LN STE A
Charlotte, NC 28277
(704) 540-1640
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1932945060
15640 DON LOCHMAN LN
Charlotte, NC 28277
(704) 540-1640
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1497728174
8035 PROVIDENCE RD SUITE 315
Charlotte, NC 28277
(704) 366-0080
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1679513998
1700 ABBEY PL STE 201 PARK ROAD MEDICAL CLINIC
Charlotte, NC 28209
(704) 523-2565
✔ PECOS6.8 mi
Nurse Practitioner
NPI 1053139451
H20N GOULD ST STE R
Sheridan, WY 82801
(940) 548-3362
✔ PECOS✔ Accepts Medicare1,531 mi

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 34D2144738

Ballantyne Medical Associates, PLLC · Charlotte, NC
Expired · Sep 17, 2026
CLIA Number34D2144738
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorSteven Bauer
Laboratory Phone(704) 540-1640
Laboratory LocationBallantyne Medical Associates, PLLC16928 Lancaster Highway, Suite 105, Charlotte, NC 28277
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Associates PLLC's NPI number?

The NPI number for Ballantyne Medical Associates PLLC is 1184776130. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Ballantyne Medical Associates PLLC located?

Ballantyne Medical Associates PLLC is located at 12311 Copper Way Suite 100, Charlotte, NC 28277. The listed phone number is (704) 540-1640.

What is Ballantyne Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ballantyne Medical Associates PLLC enrolled in Medicare?

Yes. Ballantyne Medical Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ballantyne Medical Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Ballantyne Medical Associates 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 Nurse Practitioner (3), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ballantyne Medical Associates PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Ballantyne Medical Associates 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 Medical Associates PLLC was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.