Ballantyne Emergency Physicians PLLC
NPI 1164052726ActiveOrganization· Emergency Medicine· Charlotte, NC
Emergency Medicine in Charlotte, North Carolina, registered in NPPES in January 2020. The authorized official on file is Kim H. Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164052726 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2020 |
| Last updated in NPPES | Jun 17, 2020 |
| Certified by provider | Jun 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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