NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY
NPI 1215061049
Clinic/Center - Ambulatory Surgical in Charlotte, NC
NPI Status: Active since March 15, 2007
Contact Information
14215 BALLANTYNE CORPORATE PL STE 210
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-2650
Fax: (704) 316-2653
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 34D1066796
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-02-2027
About NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY
This page provides the complete NPI Profile along with additional information for Novant Health Ballantyne Outpatient Surgery, a provider established in Charlotte, North Carolina operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1215061049 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Novant Health Ballantyne Outpatient Surgery. The authorized official of this NPI record is Fred M. Hargett (Evp Cfo)
- NPI
- 1215061049
- Provider Legal Name
- PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC
- Other Organization Name
- NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 14215 BALLANTYNE CORPORATE PL STE 210 CHARLOTTE, NC 28277
- Location Phone
- (704) 316-2650
- Location Fax
- (704) 316-2653
- Mailing Address
- 2085 FRONTIS PLAZA BLVD WINSTON-SALEM, NC 27103
- Mailing Phone
- (336) 277-1065
- Mailing Fax
- (704) 316-2653
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 10-04-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of lining of uterus and/or removal of polyp using an endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Incision of tendon covering of finger
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection, bupivacaine liposome, 1 mg
This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
This service was performed 11 times for 11 patientsColorectal 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.
This service was performed 18 times for 18 patientsThis procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
This service was performed 17 times for 12 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 42 times for 26 patientsBupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
This service was performed 4,256 times for 15 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1066796
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 03, 2025
- Certificate Expiration Date
- April 02, 2027
- Laboratory Director
- JESSICA MOZDZEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Ballantyne Outpatient Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 0 | 6 | 1 | 0 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 6 | 2 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 6 + 2 + 0 + 8 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1215061049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154857662 | PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC Organization | Nurse Anesthetist, Certified Registered | 14215 BALLANTYNE CORPORATE PL STE 210 CHARLOTTE, NC 28277 (704) 316-2650 |
| 1093783722 | TERESA GAYLE MCCORMICK Individual | Nurse Anesthetist, Certified Registered | 14215 BALLANTYNE CORPORATE PL STE 210 CHARLOTTE, NC 28277 (704) 316-2650 |
| 1124066881 | LISA YONG KIMMERLE CRNA Individual | Nurse Anesthetist, Certified Registered | 14215 BALLANTYNE CORPORATE PL STE 210 CHARLOTTE, NC 28277 (704) 316-2650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215061049, enumerated in the NPI registry as an "organization" on March 15, 2007
The provider is located at 14215 Ballantyne Corporate Pl Ste 210 Charlotte, Nc 28277 and the phone number is (704) 316-2650
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Biopsy of lining of uterus and/or removal of polyp using an endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Incision of tendon covering of finger, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level and Injection, bupivacaine liposome, 1 mg.
The provider's CLIA number is 34D1066796 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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