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

Charlotte Gastroenterology & Hepatology, PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1619124401

Charlotte Gastroenterology & Hepatology, PLLC is an Ambulatory Surgical Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
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

11430 Red Rust Ln Ste 101
Charlotte, NC 28277-4948
Phone: (704) 377-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1619124401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Hicks — Chief Executive Offi · (704) 377-4009
NPI enumeratedAugust 22, 2008
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address13808 Professional Center Dr, Huntersville, NC 28078-7948

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