Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ballantyne Emergency Physicians PLLC

Organization Emergency Medicine Physician · NPI 1164052726

Ballantyne Emergency Physicians PLLC is an Emergency Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11516 Providence Rd
Charlotte, NC 28277-2691
Phone: (704) 667-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1164052726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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