Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Simon St John Prendiville, MD

Individual provider Gastroenterology Physician · NPI 1023076353

Dr. Simon St John Prendiville, MD is a Gastroenterology in Charlotte, North Carolina. Graduated from Georgetown University School of Medicine in 1997, 29 years ago. Practices with Charlotte Gastroenterology and Hepatology PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
29
Trained at
Georgetown University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2015 Randolph Rd Ste 208
Charlotte, NC 28207-1200
Phone: (704) 377-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 200300278 (NC)

Record details

NPI number1023076353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Charlotte Gastroenterology And Hepatology Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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