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PROVIDENCE PEDIATRICS
NPI 1326078072
Pediatrics in Charlotte, NC

Active since July 04, 2006
14214 BALLANTYNE LAKE RD, STE 300, CHARLOTTE, NC 28277(704) 364-3740 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 38 more (41 updates tracked since 2016).

About Providence Pediatrics NPPES

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

PROVIDENCE PEDIATRICS (NPI 1326078072) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1326078072
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROVIDENCE PEDIATRICS
Location Address14214 BALLANTYNE LAKE RD, STE 300Charlotte, NC 28277-3372
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 364-3740
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 9, 202341 updates tracked since enumeration
✔ NPI 1326078072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

14214 BALLANTYNE LAKE RD, Charlotte, NC 28277
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Other Names 2

Doing Business AsProvidence Pediatrics
Doing Business AsAtrium Health Levine Children's Providence Pediatrics

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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.

DR. STEPHEN J. VALDER MD
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 540-4460
DR. FRED C. CULPEPPER MD
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 540-4460
VALERIE FERRO NP
Nurse Practitioner
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 540-4460
BARNETT FAMILY PRACTICE
Family Medicine
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277
Mecklenburg County (803) 283-2011
CAROLINAS MEDICAL CENTER
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 150
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2680
MS. JENNIFER ANN THURMAN PA-C
Physician Assistant (Medical)
14214 BALLANTYNE LAKE RD, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
MS. LISA MICHELLE MATUGA LISA MATUGA, PA-C
Physician Assistant (Medical)
14214 BALLANTYNE LAKE RD, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
ELIZABETH BUMGARNER
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2600

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 Providence Pediatrics's NPI number?

The NPI number for Providence Pediatrics is 1326078072. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Atrium Health Levine Children's Providence Pediatrics.

Where is Providence Pediatrics located?

Providence Pediatrics is located at 14214 Ballantyne Lake Rd Ste 300, Charlotte, NC 28277. The listed phone number is (704) 364-3740.

What is Providence Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Providence Pediatrics 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 Providence Pediatrics 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 Providence Pediatrics was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.