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CAROLINA ENDOSCOPY CENTER -PINEVILLE
NPI 1205908456
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since November 14, 2006CLIA 34D1057421 · Waiver
10520 PARK RD, SUITE 105, CHARLOTTE, NC 28210(704) 927-5756(704) 927-5757 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2023, Feb 7, 2023 (2 updates tracked since 2023).

About Carolina Endoscopy Center -pineville NPPES

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

CAROLINA ENDOSCOPY CENTER -PINEVILLE (NPI 1205908456) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 10, 2026 and lists Julie Rothrock, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1205908456
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER -PINEVILLE LLC
Location Address10520 PARK RD, SUITE 105Charlotte, NC 28210-8487
Mailing Address3426 Toringdon Way Ste 108Charlotte, NC 28277-3497 · (704) 372-7974 · Fax (704) 970-4746
Phone(704) 927-5756
Fax(704) 927-5757
Organization SubpartNo
Authorized OfficialJulie RothrockCredentialing Coordinator · (704) 372-7974
Enumeration DateNovember 14, 2006
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1205908456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10520 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Other Names 1

Doing Business AsCarolina Endoscopy Center -pineville

Other Identifiers 1

Other2381097ANC · Medicare, Other

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 34D1057421

Carolina Endoscopy Center-Pineville · Charlotte, NC
Active · expires Aug 10, 2026
CLIA Number34D1057421
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorKaren Gaddy
Laboratory Phone(704) 927-5756
Laboratory LocationCarolina Endoscopy Center-Pineville10520 Park Road Ste 105, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
218 services208 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
208 services205 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
149 services148 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
114 services111 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
62 services49 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
34 services34 patients

Other Providers at the Same Location NPPES 2

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

DR. DAVID LEIGH EVANS D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10520 PARK RD, SUITE 102
CHARLOTTE, NC 28210
Mecklenburg County (704) 341-0448
HORIZON EYE CARE PA
Eyewear Supplier
10520 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-6127

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 Endoscopy Center -Pineville LLC's NPI number?

The NPI number for Endoscopy Center -Pineville LLC is 1205908456. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Carolina Endoscopy Center -Pineville.

Where is Endoscopy Center -Pineville LLC located?

Endoscopy Center -Pineville LLC is located at 10520 Park Rd Suite 105, Charlotte, NC 28210. The listed phone number is (704) 927-5756.

What is Endoscopy Center -Pineville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Endoscopy Center -Pineville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1057421) is associated with this NPI, valid through August 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endoscopy Center -Pineville LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Endoscopy Center -Pineville LLC 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 Endoscopy Center -Pineville LLC was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.