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CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
NPI 1275412942
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since August 28, 2025CLIA Certified · 4 labs
11430 RED RUST LANE, SUITE 101, CHARLOTTE, NC 28277(704) 377-4009 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charlotte Gastroenterology & Hepatology, Pllc NPPES

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

CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC (NPI 1275412942) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since August 2025. The organization holds 4 active CLIA laboratory certificates and lists Jennifer Hicks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275412942
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Location Address11430 RED RUST LANE, SUITE 101Charlotte, NC 28277-4948
Mailing Address13808 Professional Center DrHuntersville, NC 28078-7948
Phone(704) 377-4009
Organization SubpartNo
Authorized OfficialJennifer HicksCeo · (704) 377-4009
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1275412942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11430 RED RUST LANE, Charlotte, NC 28277
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CLIA Laboratory Certificates CMS CLIA 4

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 34D2127286

Charlotte Gastroenterology & Hepatology, PLLC · Charlotte, NC
Active · expires Mar 11, 2027
CLIA Number34D2127286
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorDennis Kokenes
Laboratory Phone(704) 717-5549
Laboratory LocationCharlotte Gastroenterology & Hepatology, PLLC11430 Red Rust Lane Suite 201, Charlotte, NC 28277
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1051387

Charlotte Gastroenterology & Hepatology, PLLC · Mooresville, NC
Active · expires Feb 29, 2028
CLIA Number34D1051387
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorSteven A. Josephson
Laboratory Phone(704) 377-4009
Laboratory LocationCharlotte Gastroenterology & Hepatology, PLLC115 Commerce Pointe Boulevard, Mooresville, NC 28117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 34D2144122

Charlotte Gastroenterology & Hepatology, PLLC · Charlotte, NC
Active · expires Feb 4, 2028
CLIA Number34D2144122
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorNilesh Patel
Laboratory Phone(704) 377-4009
Laboratory LocationCharlotte Gastroenterology & Hepatology, PLLC2022 Vail Avenue, Charlotte, NC 28207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 34D1045441

Charlotte Gastroenterology & Hepatology PLLC · Charlotte, NC
Active · expires Sep 14, 2027
CLIA Number34D1045441
Laboratory TypeOther
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorRobert Schmitz
Laboratory Phone(704) 543-1220
Laboratory LocationCharlotte Gastroenterology & Hepatology PLLC15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277
CLIA data matches this NPI record on: Name
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 Charlotte Gastroenterology & Hepatology, PLLC's NPI number?

The NPI number for Charlotte Gastroenterology & Hepatology, PLLC is 1275412942. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Charlotte Gastroenterology & Hepatology, PLLC located?

Charlotte Gastroenterology & Hepatology, PLLC is located at 11430 Red Rust Lane Suite 101, Charlotte, NC 28277. The listed phone number is (704) 377-4009.

What is Charlotte Gastroenterology & Hepatology, PLLC's specialty?

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

Does Charlotte Gastroenterology & Hepatology, PLLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Charlotte Gastroenterology & Hepatology, PLLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.