PRESBYTERIAN BREAST CENTER BALLANTYNE
NPI 1275584179
Clinic/Center - Radiology, Mammography in Charlotte, NC
NPI Status: Active since May 15, 2006
Contact Information
14215 BALLANTYNE CORPORATE PLACE
STE 140
CHARLOTTE, NC
ZIP 28277
Phone: (704) 384-1890
- Organization
- Clinic/Center
- Radiology, Mammography
- Accepts Insurance
- CLIA Number: 34D2005281
- CLIA Cert. Type: Other - IDTF
- CLIA Exp. Date: 03-23-2026
About PRESBYTERIAN BREAST CENTER BALLANTYNE
This page provides the complete NPI Profile along with additional information for Presbyterian Breast Center Ballantyne, a provider established in Charlotte, North Carolina operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1275584179 assigned on May 2006. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Presbyterian Breast Center Ballantyne. The authorized official of this NPI record is Fred M Hargett (Evp Cfo)
- NPI
- 1275584179
- Provider Legal Name
- PRESBYTERIAN BREAST CENTER LLC
- Other Organization Name
- PRESBYTERIAN BREAST CENTER BALLANTYNE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 14215 BALLANTYNE CORPORATE PLACE STE 140 CHARLOTTE, NC 28277
- Location Phone
- (704) 384-1890
- Mailing Address
- 2085 FRONTIS PLAZA BLVD WINSTON SALEM, NC 27103
- Mailing Phone
- (336) 277-7226
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 12-01-2010
- 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 Radiology, Mammography
- Taxonomy Code
- 261QR0206X
- 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:
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00191119 | OTHER (01) | RAILROAD MEDICARE |
CLIA 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
- 34D2005281
- Facility Type
- Other - IDTF
- Certificate Effective Date
- March 24, 2024
- Certificate Expiration Date
- March 23, 2026
- Laboratory Director
- JUSTINE WHITTEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Presbyterian Breast Center Ballantyne 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.
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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 | 7 | 5 | 5 | 8 | 4 | 1 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 8 | 8 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 8 + 8 + 1 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1275584179 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073703948 | NOVANT MEDICAL GROUP, INC. Organization | Internal Medicine (Sleep Medicine) | 14215 BALLANTYNE CORPORATE PLACE SUITE 240 CHARLOTTE, NC 28277 (704) 316-5000 |
| 1194776765 | PRESBYTERIAN IMAGING CENTERS LLC Organization | Radiology (Diagnostic Radiology) | 14215 BALLANTYNE CORPORATE PLACE STE 140 CHARLOTTE, NC 28277 (704) 384-1890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275584179, enumerated in the NPI registry as an "organization" on May 15, 2006
The provider is located at 14215 Ballantyne Corporate Place Ste 140 Charlotte, Nc 28277 and the phone number is (704) 384-1890
This medical organization specializes in Clinic/Center with taxonomy code 261QR0206X with a focus in Radiology, Mammography
The provider might be accepting Accepts: WellCare of North Carolina, Railroad Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2005281 for a "other - idtf" 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 May 15, 2006. 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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