Pediatric Surgical Associates, P.A.
NPI 1174640163ActiveOrganization· Surgery, Pediatric Surgery· Charlotte, NC
Surgery, Pediatric Surgery in Charlotte, North Carolina, registered in NPPES in March 2007. The authorized official on file is Linda G. Boyd, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174640163 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 73120 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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