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QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
NPI 1750682431
Internal Medicine - Gastroenterology in Charlotte, NC

Active since November 10, 2010CLIA 34D2156916 · Certificate of Compliance
320 LILLINGTON AVE, SUITE 101, CHARLOTTE, NC 28204(704) 362-4403(704) 362-4405 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2020, Mar 16, 2017 (2 updates tracked since 2017).

About Queen City Gastroenterology & Hepatology, Pc NPPES

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

QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC (NPI 1750682431) is a healthcare organization registered as a gastroenterology in Charlotte, North Carolina and active in the NPI registry since November 2010. The organization holds a CLIA Certificate of Compliance certificate valid through November 14, 2027 and lists Michelle Ogunwale, Administrator / Manager, as its authorized official.

NPPES Registry Identity

NPI1750682431
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameQUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
Location Address320 LILLINGTON AVE, SUITE 101Charlotte, NC 28204-3189
Mailing Address320 Lillington Ave, Suite 101Charlotte, NC 28204-3189 · (704) 362-4403 · Fax (704) 362-4405
Phone(704) 362-4403
Fax(704) 362-4405
Organization SubpartNo
Authorized OfficialMichelle OgunwaleAdministrator / Manager · (704) 362-4403
Enumeration DateNovember 10, 2010
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1750682431 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.
320 LILLINGTON AVE, Charlotte, NC 28204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queen City Gastroenterology & Hepatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Queen City Gastroenterology & Hepatology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ben Ogunwale, M.D.
Gastroenterology
NPI 1720126600
320 LILLINGTON AVE SUITE 101
Charlotte, NC 28204
(704) 362-4403
✔ PECOS✔ Accepts MedicareSame address
Cassie Chandler, PA-C, RDN
Gastroenterology
NPI 1689454704
225 BALDWIN AVE
Charlotte, NC 28204
(704) 376-1605
✔ PECOS✔ Accepts Medicare0.1 mi
Bryan Tuttle, M.D.
Pathology
NPI 1992968952
2525 COURT DR
Gastonia, NC 28054
(704) 834-2000
✔ PECOS✔ Accepts Medicare18 mi
Evgenia Salnikova
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366817314
920 CHURCH ST N
Concord, NC 28025
(518) 542-1511
20 mi
Nathan Pulkingham, MD
Pathology
NPI 1588663447
500 JEFFERSON ST
Whiteville, NC 28472
(910) 642-8011
✔ PECOS✔ Accepts Medicare136 mi

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

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 Compliance 34D2156916

Queen City Gastroenterology & Hepatology, PC · Charlotte, NC
Active · expires Nov 14, 2027
CLIA Number34D2156916
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorNathan C. Pulkingham
Laboratory Phone(704) 362-4403
Laboratory LocationQueen City Gastroenterology & Hepatology, PC320 Lillington Avenue, Suite 101, Charlotte, NC 28204
CLIA data matches this NPI record on: Address 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.

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 Queen City Gastroenterology & Hepatology, PC's NPI number?

The NPI number for Queen City Gastroenterology & Hepatology, PC is 1750682431. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Queen City Gastroenterology & Hepatology, PC located?

Queen City Gastroenterology & Hepatology, PC is located at 320 Lillington Ave Suite 101, Charlotte, NC 28204. The listed phone number is (704) 362-4403.

What is Queen City Gastroenterology & Hepatology, PC's specialty?

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

Is Queen City Gastroenterology & Hepatology, PC enrolled in Medicare?

Yes. Queen City Gastroenterology & Hepatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queen City Gastroenterology & Hepatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Queen City Gastroenterology & Hepatology, PC, in Certified Registered Nurse Anesthetist (CRNA), Gastroenterology and Pathology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Queen City Gastroenterology & Hepatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2156916) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Queen City Gastroenterology & Hepatology, PC was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.