NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
NPI 1760190607
Nurse Anesthetist, Certified Registered in Charlotte, NC

Active since November 09, 2022CLIA 34D2275330 · Accreditation
10905 PROVIDENCE RD W, CHARLOTTE, NC 28277(980) 488-4000 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Novant Health Ballantyne Medical Center Llc NPPES

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

NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC (NPI 1760190607) is a healthcare organization registered as a nurse anesthetist, certified registered in Charlotte, North Carolina and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through February 20, 2028 and lists Joy Greear, Facility President, as its authorized official.

NPPES Registry Identity

NPI1760190607
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameNOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
Location Address10905 PROVIDENCE RD WCharlotte, NC 28277
Mailing Address2085 Frontis Plaza Blvd Fl 3Winston Salem, NC 27103-5614
Organization SubpartNo
Authorized OfficialJoy GreearFacility President · (336) 277-8757
Enumeration DateNovember 9, 2022
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1760190607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
10905 PROVIDENCE RD W, Charlotte, NC 28277

Other Names 1

Other NameNovant Health Ballantyne Medical Center Professional Fees

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Accreditation 34D2275330

Novant Health Ballantyne Medical Center, LLC · Charlotte, NC
Active · expires Feb 20, 2028
CLIA Number34D2275330
Laboratory TypeHospital
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorDr. Ricky A. Thompson
Laboratory Phone(980) 488-4000
Laboratory LocationNovant Health Ballantyne Medical Center, LLC10905 Providence Road West, Charlotte, NC 28277
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Hospitalist
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Physician Assistant
10905 PROVIDENCE RD W, STE 270
CHARLOTTE, NC 28277
Nurse Practitioner
10905 PROVIDENCE RD W, SUITE G200
CHARLOTTE, NC 28277
Nurse Practitioner
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Nurse Practitioner
10905 PROVIDENCE RD W, STE 150
CHARLOTTE, NC 28277
Student in an Organized Health Care Education/Training Program
10905 PROVIDENCE RD W, WOMENS SERVICES
CHARLOTTE, NC 28277
General Acute Care Hospital
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277

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 Novant Health Ballantyne Medical Center LLC's NPI number?

The NPI number for Novant Health Ballantyne Medical Center LLC is 1760190607. It was assigned to this organization in the NPPES registry on November 9, 2022. The provider is also known as Novant Health Ballantyne Medical Center Professional Fees.

Where is Novant Health Ballantyne Medical Center LLC located?

Novant Health Ballantyne Medical Center LLC is located at 10905 Providence Rd W, Charlotte, NC 28277. The listed phone number is (980) 488-4000.

What is Novant Health Ballantyne Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Novant Health Ballantyne Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2275330) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novant Health Ballantyne Medical Center LLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.