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

Ballantyne Family Medicine PC

Organization Family Medicine Physician · NPI 1376804971

Ballantyne Family Medicine PC is a Family Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16147 Lancaster Hwy Ste 140
Charlotte, NC 28277-4782
Phone: (704) 208-4134
Fax: (704) 248-7845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2011-01795 (NC)

Record details

NPI number1376804971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Wynn — President · (704) 208-4134
NPI enumeratedMay 31, 2012
Last updated in NPPESFebruary 24, 2016
Mailing address16147 Lancaster Hwy, Suite 140, Charlotte, NC 28277-4782

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