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
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

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

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.

Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Nurse Practitioner
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Family Medicine
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 150
CHARLOTTE, NC 28277
Physician Assistant (Medical)
14214 BALLANTYNE LAKE RD, SUITE 100
CHARLOTTE, NC 28277
Physician Assistant (Medical)
14214 BALLANTYNE LAKE RD, SUITE 100
CHARLOTTE, NC 28277
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326078072, enumerated as an "organization" on July 04, 2006.

The provider is located at 14214 BALLANTYNE LAKE RD STE 300 CHARLOTTE, NC 28277 and the phone number is (704) 364-3740.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.