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CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
NPI 1619124401
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since August 22, 2008
11430 RED RUST LN STE 101, CHARLOTTE, NC 28277(704) 377-4009 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, May 29, 2025, Jul 13, 2020 (3 updates tracked since 2020).

About Charlotte Gastroenterology & Hepatology, Pllc NPPES

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

CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC (NPI 1619124401) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since August 2008. The organization lists Jennifer Hicks, Chief Executive Offi, as its authorized official.

NPPES Registry Identity

NPI1619124401
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Location Address11430 RED RUST LN STE 101Charlotte, NC 28277-4948
Mailing Address13808 Professional Center DrHuntersville, NC 28078-7948 · (704) 377-4009 · Fax (704) 375-6970
Phone(704) 377-4009
Organization SubpartNo
Authorized OfficialJennifer HicksChief Executive Offi · (704) 377-4009
Enumeration DateAugust 22, 2008
Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1619124401 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 LN STE 101, Charlotte, NC 28277
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Other Identifiers 1

Medicaid3409963NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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)

Charlotte Gastroenterology & Hepatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Charlotte Gastroenterology & Hepatology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)15
Anesthesiology1
Gastroenterology1
Pathology1

Clinicians, nearest first (18)

Kenneth Speicher, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841227469
CAROLINAS MEDICAL CENTER-PINEVILLE 10628 PARK ROAD
Charlotte, NC 28210
(704) 667-1000
✔ Accepts Medicare6.0 mi
Marcia Haddock, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538126792
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4239
✔ Accepts Medicare11 mi
Kemery Gilbert, M.D.
Pathology
NPI 1942481247
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 340-7104
✔ PECOS✔ Accepts Medicare25 mi
Julie Callan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831113299
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts Medicare25 mi
Maria Hatara, MD
Gastroenterology
NPI 1427217439
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts Medicare25 mi
Kristina Andronica, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811120330
1550 UNION RD STE B GASTON ANESTHESIA ASSOCIATES, PA
Gastonia, NC 28054
(704) 864-8772
✔ Accepts Medicare26 mi
Shelley Falcone, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790921492
17613 SPINNAKERS REACH DR
Cornelius, NC 28031
(704) 450-1627
✔ Accepts Medicare30 mi
David Butlak, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881656189
218 OLD MOCKSVILLE RD
Statesville, NC 28625
(704) 838-7570
✔ Accepts Medicare53 mi
Nancy Dulin, MD
Anesthesiology
NPI 1306816558
218 OLD MOCKSVILLE RD ANESTHESIA DEPT
Statesville, NC 28625
(704) 873-0281
✔ PECOS✔ Accepts Medicare53 mi
Jeffrey Caudle, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568402899
242A 9TH AVENUE DR NE
Hickory, NC 28601
(828) 327-6673
✔ Accepts Medicare57 mi
Erin Richardson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669606968
242 9TH AVENUE DR NE
Hickory, NC 28601
(828) 327-6673
✔ Accepts Medicare57 mi
Shawn Fleming, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740542752
4500 MANOR VILLAGE WAY APT 242
Raleigh, NC 27612
(828) 850-9646
✔ Accepts Medicare130 mi
Bryan Fleming, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962843755
7900 N KINGS HWY
Myrtle Beach, SC 29572
(843) 449-3381
✔ Accepts Medicare144 mi
Teywonia Byrd, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306087598
600 GRESHAM DR
Norfolk, VA 23507
(757) 473-0055
✔ Accepts Medicare280 mi
Jennifer Shockley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740248103
216 OLIVE BRANCH RD
Nashville, TN 37205
(615) 327-4304
✔ PECOS✔ Accepts Medicare351 mi
James Goode, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174611883
7300 VAN DUSEN RD
Laurel, MD 20707
(443) 332-4088
✔ Accepts Medicare352 mi
Robert Bourbonnais, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669517736
3601 W. 13 MILE RD
Royal Oak, MI 48073
(248) 898-5000
✔ Accepts Medicare531 mi
Abby Bobo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952943474
1201 WESLEYAN ST
Fort Worth, TX 76105
(817) 531-4406
✔ Accepts Medicare961 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
366 services366 patients
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.
246 services245 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.
221 services220 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.
104 services103 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.
84 services84 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
52 services52 patients

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 1619124401. It was assigned to this organization in the NPPES registry on August 22, 2008.

Where is Charlotte Gastroenterology & Hepatology, PLLC located?

Charlotte Gastroenterology & Hepatology, PLLC is located at 11430 Red Rust Ln Ste 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.

Is Charlotte Gastroenterology & Hepatology, PLLC enrolled in Medicare?

Yes. Charlotte Gastroenterology & Hepatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Gastroenterology & Hepatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Charlotte Gastroenterology & Hepatology, 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 Certified Registered Nurse Anesthetist (CRNA) (15), Anesthesiology (1) and Gastroenterology (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charlotte Gastroenterology & Hepatology, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Charlotte Gastroenterology & Hepatology, 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 Charlotte Gastroenterology & Hepatology, PLLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.