Ballantyne Emergency Physicians Pllc
Ballantyne Emergency Physicians Pllc is a healthcare organization registered as Emergency Medicine Physician in Charlotte, NC, holding Type 2 (organization) NPI 1164052726 since 2020. The authorized official on file is Kim Larsen, Director of Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164052726 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ballantyne Emergency Physicians Pllc |
| Practice address | 11516 PROVIDENCE RD, Charlotte, NC, 28277 |
| Phone | 7046670370 |
| Enumeration date | 2020-01-23 |
| Last updated in NPPES | 2020-06-17 |
Authorized official
| Name | Kim Larsen |
|---|---|
| Title | Director of Credentialing |
| Phone | 7708745400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Ballantyne Emergency Physicians Pllc NPI: 1164052726 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 11516 PROVIDENCE RD, Charlotte, NC, 28277
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487756870 | Harris Teeter, LLC | Organization | Community/Retail Pharmacy | Charlotte, NC |
| 1316239536 | Thao Nguyen | Individual | Pharmacist | Charlotte, NC |
| 1003108119 | Donna Hayworth | Individual | Pharmacist | Charlotte, NC |
| 1124478680 | Iman Tamimi | Individual | Emergency Medicine Physician | Charlotte, NC |
Verify this record
Cross-check NPI 1164052726 against the authoritative CMS record: view Ballantyne Emergency Physicians Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Ballantyne Emergency Physicians Pllc?
Who is the authorized official for Ballantyne Emergency Physicians Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-17.