1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Clinic Center
  6. NPI Profile

CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
NPI 1851548655
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since August 22, 2008
2015 RANDOLPH RD, SUITE 101, CHARLOTTE, NC 28207(704) 377-4009 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 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 1851548655) 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, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851548655
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC
Location Address2015 RANDOLPH RD, SUITE 101Charlotte, NC 28207-1128
Mailing Address2015 Randolph Rd, Suite 101Charlotte, NC 28207-1128 · (704) 377-4009
Phone(704) 377-4009
Organization SubpartNo
Authorized OfficialJennifer HicksCeo · (704) 377-4009
Enumeration DateAugust 22, 2008
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1851548655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2015 RANDOLPH RD, Charlotte, NC 28207
Open in Google Maps ↗

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

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Charlotte Gastroenterology & Hepatology, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Gastroenterology24
Certified Registered Nurse Anesthetist (CRNA)21
Anesthesiology1
Internal Medicine1
Pathology1

Nearest to this location (20)

See all 48
Atul Khanna, MD
Gastroenterology
NPI 1740382233
2015 RANDOLPH ROAD SUITE 208
Charlotte, NC 28207
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Sanjib Mohanty, M.D.
Gastroenterology
NPI 1972561157
2015 RANDOLPH RD STE 208
Charlotte, NC 28207
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Joyce Sauvager, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003875170
2015 RANDOLPH RD STE 101
Charlotte, NC 28207
(704) 377-4009
✔ Accepts MedicareSame address
Jason Wilson, M.D.
Gastroenterology
NPI 1073603486
2015 RANDOLPH RD SUITE 208
Charlotte, NC 28207
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
John Roddey, M.D.
Gastroenterology
NPI 1619925419
2015 RANDOLPH RD SUITE 208
Charlotte, NC 28207
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Simon Prendiville, MD
Gastroenterology
NPI 1023076353
2015 RANDOLPH ROAD SUITE 208
Charlotte, NC 28207
(704) 377-4009
✔ PECOS✔ Accepts MedicareSame address
Cheryl Tillson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922054766
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4239
✔ Accepts Medicare0.3 mi
Marcia Haddock, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538126792
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4239
✔ Accepts Medicare0.3 mi
Theresa Miller
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720283245
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4274
0.3 mi
Amy Smith, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689676173
1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY
Charlotte, NC 28203
(704) 355-2000
✔ Accepts Medicare1.0 mi
Vinaya Maddukuri, M.D.
Internal Medicine
NPI 1770512774
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts Medicare1.2 mi
John King, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609839836
300 BILLINGSLEY RD STE 200
Charlotte, NC 28211
(704) 372-7974
✔ Accepts Medicare1.5 mi
Kenneth Speicher, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841227469
CAROLINAS MEDICAL CENTER-PINEVILLE 10628 PARK ROAD
Charlotte, NC 28210
(704) 667-1000
✔ Accepts Medicare8.5 mi
Srinivas Cheruvu, M.D.
Gastroenterology
NPI 1356367957
11430 RED RUST LN STE 201
Charlotte, NC 28277
(704) 377-4009
✔ PECOS✔ Accepts Medicare11 mi
Sam Fulp, M.D.
Gastroenterology
NPI 1548218118
11430 RED RUST LN STE 201
Charlotte, NC 28277
(704) 377-4009
✔ PECOS✔ Accepts Medicare11 mi
Alex Kesler, M.D.
Gastroenterology
NPI 1235662206
11430 RED RUST LN STE 201
Charlotte, NC 28277
(704) 377-4009
✔ PECOS✔ Accepts Medicare11 mi
Kemery Gilbert, M.D.
Pathology
NPI 1942481247
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 340-7104
✔ PECOS✔ Accepts Medicare13 mi
Julie Callan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831113299
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
(704) 377-4009
✔ Accepts Medicare13 mi
Shelley Falcone, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790921492
17613 SPINNAKERS REACH DR
Cornelius, NC 28031
(704) 450-1627
✔ Accepts Medicare19 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 Medicare20 mi
See all 48 clinicians

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.
344 services344 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.
276 services276 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.
273 services270 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.
105 services104 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.
73 services73 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
42 services42 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 1851548655. 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 2015 Randolph Rd Suite 101, Charlotte, NC 28207. 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), 48 clinicians in 5 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 Gastroenterology (24), Certified Registered Nurse Anesthetist (CRNA) (21) and Anesthesiology (1). Of these, 6 practice at this address and 13 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 May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.