PRESBYTERIAN BREAST CENTER LLC (NPI# 1275584179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275584179 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN BREAST CENTER LLC |
| Other Organization Name | PRESBYTERIAN BREAST CENTER BALLANTYNE |
| Practice Address |
14215 Ballantyne Corporate Place Ste 140 Charlotte NC 28277-3146 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103-5614 |
| Practice Telephone | 7043841890 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | FRED M HARGETT (EVP CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00191119 | 01 |
| Other Name | Type Code |
|---|---|
| Presbyterian Breast Center Ballantyne | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831452622 | Presbyterian Breast Center LLC | Radiology | 1718 E 4th St, Suite 103, Charlotte, NC 28204-3261 | 2012-06-18 |
| 1326099201 | Presbyterian Breast Center LLC | Physiological Laboratory | 1718 E 4th St, Ste 103, Charlotte, NC 28204-3260 | 2006-05-15 |
| Street Address |
14215 BALLANTYNE CORPORATE PLACE STE 140 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073703948 | Novant Medical Group, Inc. | Internal Medicine | 14215 Ballantyne Corporate Place, Suite 240, Charlotte, NC 28277-3670 | 2007-07-27 |
| 1205940244 | Nancy Virginia Behrens | Psychiatry & Neurology | 14215 Ballantyne Corporate Place, Suite 230, Charlotte, NC 28277-3760 | 2006-08-18 |
| 1194776765 | Presbyterian Imaging Centers LLC | Radiology | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457302341 | Presbyterian Breast Center, LLC | Clinic/Center | 2900 Randolph Rd, Charlotte, NC 28211-1021 | 2006-05-15 |
| 1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918116 | Wellcareamerica LLC | Clinic/Center | 800 Park Offices Dr, Suite 3303, Durham, NC 27709 | 2016-05-02 |
| 1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
| 1013269653 | Hoke Imaging | Clinic/Center | 300 Medical Pavilion Drive, Raeford, NC 28376 | 2012-10-05 |
| 1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
| 1104877356 | Foundation Health Systems, Corp | Clinic/Center | 2025 Frontis Plaza Blvd, Ste 300, Winston-salem, NC 27103-5663 | 2006-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.