CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
NPI 1730100801
Internal Medicine - Gastroenterology in Huntersville, NC

Active since July 22, 2006CLIA Certified · 2 labs
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078(704) 377-4009 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1730100801) is a healthcare organization registered as a gastroenterology in Huntersville, North Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Hicks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730100801
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Location Address13808 PROFESSIONAL CENTER DRHuntersville, NC 28078-7948
Mailing Address2015 Randolph Rd, Suite 208Charlotte, NC 28207-1128 · (704) 377-4009 · Fax (704) 815-1655
Organization SubpartNo
Authorized OfficialJennifer HicksCeo · (704) 377-4009
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1730100801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
13808 PROFESSIONAL CENTER DR, Huntersville, NC 28078

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation 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).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040223000424Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

88

Medicare enrollment records show 88 clinicians reassign Medicare billing to Charlotte Gastroenterology & Hepatology, PLLC, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)42
Gastroenterology33
Nurse Practitioner8
Pathology3
Anesthesiology1
Internal Medicine1

Nearest to this location (20)

See all 88
Gastroenterology
NPI 1598290173
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1912965609
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1487093134
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1942481247
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 340-7104
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548924160
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOSSame address
Gastroenterology
NPI 1346700390
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1972702470
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1467778555
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 717-5549
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1710112115
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871109405
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1841724614
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831113299
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396793303
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770583924
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295126043
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073972386
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477149730
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-0246
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164528311
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568953149
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821299140
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts MedicareSame address
See all 88 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

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 34D0243945

Charlotte Gastroenterology/Hepatology · Charlotte, NC
Active · expires Aug 31, 2028
CLIA Number34D0243945
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJohn G. Roddey
Laboratory Phone(704) 375-9484
Laboratory LocationCharlotte Gastroenterology/Hepatology2015 Randolph Road Suite 208, Charlotte, NC 28207
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2147544

Charlotte Gastroenterology And Hepatology, PLLC · Charlotte, NC
Active · expires Apr 21, 2028
CLIA Number34D2147544
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorAtul Khanna
Laboratory Phone(704) 717-5549
Laboratory LocationCharlotte Gastroenterology And Hepatology, PLLC2015 Randolph Road, Suite 101, Charlotte, NC 28207
CLIA data matches this NPI record on: Address
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 1730100801. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Charlotte Gastroenterology & Hepatology, PLLC located?

Charlotte Gastroenterology & Hepatology, PLLC is located at 13808 Professional Center Dr, Huntersville, NC 28078. The listed phone number is (704) 377-4009.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Charlotte Gastroenterology & Hepatology, PLLC enrolled in Medicare?

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

When is Charlotte Gastroenterology & Hepatology, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 6 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) (42), Gastroenterology (33) and Nurse Practitioner (8). Of these, 23 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. 2 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.

What insurance does Charlotte Gastroenterology & Hepatology, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare 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 May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.