Pediatric Surgical Associates, P.A.
NPI 1174640163 · Pediatric Surgery Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Surgical Associates, P.A. is a Pediatric Surgery Physician organization in Charlotte, NC (NPI 1174640163).
Provider details
- NPI number
- 1174640163
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Boyd, Administrator(704) 370-0223
- License
- 73120 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Surgical Associates, P.A.'s NPI number?
- Pediatric Surgical Associates, P.A.'s National Provider Identifier (NPI) is 1174640163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Surgical Associates, P.A.?
- Pediatric Surgical Associates, P.A. is classified in the NPPES registry as Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Surgical Associates, P.A. located?
- Pediatric Surgical Associates, P.A.'s practice location on file with NPPES is 1900 Randolph Rd, Charlotte, NC 28207-1106.
- What is Pediatric Surgical Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Pediatric Surgical Associates, P.A. is (704) 370-0223.
- Does Pediatric Surgical Associates, P.A. accept Medicare?
- Pediatric Surgical Associates, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Surgical Associates, P.A.?
- The authorized official listed on Pediatric Surgical Associates, P.A.'s NPPES record is Linda Boyd, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Surgical Associates, P.A.'s NPI active?
- Yes — Pediatric Surgical Associates, P.A.'s NPI (1174640163) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.